Shannon Marie Mitchel, MD, PT

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

N3898 Issued in TX

Practice address

3005 S Lamar Blvd
Ste D109-134
Austin, TX 78704-8864

Phone

(512) 550-5513

NPI assigned

May 16, 2007

Last updated

Apr 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• House Call Doctors Texas PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1992731814
  NPD (past)
• Osteoarthritis Centers of America Medical Group PC

  • Pain Clinic/Center
  • Bluffdale, UT
  • NPI 1376844886
  NPD (past)
• Osteoarthritis Centers of America Medical Group PC

  dba OsteoArthritis Centers of America

  • Pain Clinic/Center
  • Reno, NV
  • NPI 1508137886
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1760699169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD.",
            "address_2": "STE # D 109-134",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-550-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD",
            "address_2": "STE D109-134",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-550-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD,  PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N3898",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1088805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelam Misra, MD
• Alyssa Missant, MD
• Mister Shoe LLC
• Krista Mistry, CRNA
• Magdalene Mitaszka
• Ashley N Mitchell, M.S. CF-SLP
• Carol Mitchell, CNS
• Courtney Mitchell
• David P Mitchell, LPC
• Erin Mitchell, PAC

• General Practice Physician in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.