Mitchell Needleman, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003942 Issued in IL

Legal business name

MITCHELL NEEDLEMAN, D.P.M.

Practice address

16 Park PL Ste a
Swansea, IL 62226-2928

Phone

(618) 234-8333

Fax

(618) 234-8349

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Needleman, D.P.M.NPI 1922072701

Title

Podiatrist/Owner

Phone

(618) 234-8333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Needleman, D.P.M.

  • Podiatrist
  • Swansea, IL
  • NPI 1922072701
  Authorized official Same address or phone

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1720233240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARK PL STE A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARK PL STE A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262928",
            "telephone_number": "618-234-8333",
            "fax_number": "618-234-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL NEEDLEMAN, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "NEEDLEMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "618-234-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Swansea, IL
• Providers in Swansea, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.