Kevin Mitchell MD PC

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

G867120 Issued in CA

Legal business name

KEVIN MITCHELL MD PC

Practice address

710 4TH St
Suite B
Marysville, CA 95901-5668

Phone

(530) 749-0700

Fax

(530) 749-9298

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrelle L.B. Mitchell

Title

Secretary

Phone

(530) 749-0700

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kevin Jeffrey Mitchell, MD

  • Trauma Surgery Physician
  • Fremont, CA
  • NPI 1255388666

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1730351206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 4TH ST",
            "address_2": "SUITE B",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015668",
            "telephone_number": "530-749-0700",
            "fax_number": "530-749-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 4TH ST",
            "address_2": "SUITE B",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015668",
            "telephone_number": "530-749-0700",
            "fax_number": "530-749-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MITCHELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TERRELLE",
        "authorized_official_middle_name": "L.B.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "530-749-0700"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "G867120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G867120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jace William Keister, PA-C
• Carla Kelley, CRNA
• Lezah Kelley
• Katherine Kelly, N.P
• Carol Lynn Kent, MFTI
• Huma Khaliqi, AMFT
• Alam Khan, MD
• Saher Khan, CADC
• Sarah Catherine Kiehl, ACSW
• Katie Kiernan

• Surgical Critical Care Physician in Marysville, CA
• Providers in Marysville, CA by specialty
• Surgical Critical Care Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.