Clifford A. Mitcheff, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02002934A Issued in IN

Practice address

100 N Curry Pike
Bloomington, IN 47404-2593

Phone

(812) 339-9980

Fax

(812) 349-4007

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: clifford.mitcheff.1@14940.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700918802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CURRY PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042593",
            "telephone_number": "812-339-9980",
            "fax_number": "812-349-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CURRY PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042593",
            "telephone_number": "812-339-9980",
            "fax_number": "812-349-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEFF",
        "first_name": "CLIFFORD",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002934A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Minniear, DC
• Louise E. Miracle, PH.D., HSPP, INC.
• Rory F Miranda, MD
• Julie Mirise
• Debra L J Mishler, MSW, LCSW
• Courtney Mitchell, NP-C
• Debra Suzanne Mitchell, LCSW
• Jaycee Mitchell
• Jordan M Mitchell, PT, DPT
• Michael C Mitchell, RPH

• Family Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.