Mark Mitchell

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

379361 Issued in OH

Practice address

88 N Plains Rd
The Plains, OH 45780-1162

Phone

(740) 649-2301

NPI assigned

Aug 12, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1750019154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BAKER RD",
            "city": "NEW MARSHFIELD",
            "state": "OH",
            "postal_code": "457669701",
            "telephone_number": "740-649-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N PLAINS RD",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801162",
            "telephone_number": "740-649-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "379361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Lynn Link, AT
• Carter Luckring
• Zhongyin Meng, CT- QMHS
• Phillip Metcalf, QMHS
• Miret Mikhail, LD
• Louisa Morris
• Leann Morrissette, LCDC
• Marieta Gamutan Nisperos
• Chloe Elyse Oleyar, LISW
• Ida Osborne

• Case Management Registered Nurse in The Plains, OH
• Providers in The Plains, OH by specialty
• Case Management Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.