Mitchell Foot & Ankle PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MITCHELL FOOT & ANKLE PC

Practice address

1424 E 53Rd St
Suite 301
Chicago, IL 60615-4500

Phone

(773) 324-3338

Fax

(773) 324-1866

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Charles L Mitchell, DPMNPI 1356372197

Title

President

Phone

(773) 324-3338

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles L Mitchell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1356372197
  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy Cowan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1548202716
  Medicare reassignment Care Compare group NPD
• Angela Pezzuto, D.P.M.

  • Foot Surgery Podiatrist
  • Chicago, IL
  • NPI 1205868551
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1750312690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E 53RD ST",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154500",
            "telephone_number": "773-324-3338",
            "fax_number": "773-324-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E 53RD ST",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154500",
            "telephone_number": "773-324-3338",
            "fax_number": "773-324-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL FOOT & ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-324-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "609279200",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DD6737",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1634266",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Bernard Mitacek, MD
• Mital Spatz DDS PC
• Rohan Mital, MD
• Michael Florentino Mitarotondo, P.T.A.
• Krista Joanne Mitch, FNP
• Mitchell Goldflies MD SC
• Mitchell Rotenberg Inc
• Sheila Faye Mitchell-Erb, LCSW
• Alexandra Mitchell, MD
• Amanda Mitchell

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.