Active NPI
Rodger Mitchell, M.D.
- Family Medicine Physician
- Arlington, TX
National Provider Identifier
1750373700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J4359
- Practice address
- 605 S West St
Arlington, TX 76010 - Phone
- (817) 272-2773
- Fax
- (817) 272-2744
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J4359 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 22412 | WV |
Addresses
Primary practice location
605 S West St
Arlington, TX 76010
Mailing address
605 S West St
Arlington, TX 76010
Phone (817) 272-2773
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K5842 | Medicaid | NM | |
| 82G884 | Other | TX | BCBS |
| 80849Z | Other | TX | HMO BLUE |
| A110 | Other | NM | TRIWEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Arlington | Past | Accepting new patients | |
| Lubbock Regional MHMR Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Lubbock, TX
- NPI 1992708705
-
- Student Health Clinic/Center
- Arlington, TX
- NPI 1235270463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1750373700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S WEST ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76010",
"telephone_number": "817-272-2773",
"fax_number": "817-272-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S WEST ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76010",
"telephone_number": "817-272-2773",
"fax_number": "817-272-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "RODGER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J4359",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "22412",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K5842",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82G884",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "80849Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A110",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.