Mitchell Diagnostic

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

43D0407438 Issued in SD

Legal business name

MITCHELL DIAGNOSTIC

Practice address

2250 N Kimball St Ste 600
Mitchell, SD 57301-5335

Phone

(605) 996-2031

Fax

(605) 996-4496

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary Parr

Title

Office Manager

Phone

(605) 996-2031

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

Practitioners 15

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

• Ronald D Anderson, M.D.

  • Obstetrics & Gynecology Physician
  • Mitchell, SD
  • NPI 1558471573
  NPD (past)
• Dileep S Bhat, M D

  • Urology Physician
  • Mitchell, SD
  • NPI 1528130085
  NPD (past)
• Theresa M Campbell, MD

  • Family Medicine Physician
  • Mitchell, SD
  • NPI 1073583621
  NPD (past)
• Derek J Ferrie, MD

  • Internal Medicine Physician
  • Mitchell, SD
  • NPI 1013962919
  NPD (past)
• William Noble Graham, D.O.

  • Facial Plastic Surgery Physician
  • Mitchell, SD
  • NPI 1558450254
  NPD (past)
• Michael Dennis Haley, MD

  • Surgery Physician
  • Mitchell, SD
  • NPI 1922064237
  NPD (past)
• Jerome Kent Howe, MD

  • Surgery Physician
  • Mitchell, SD
  • NPI 1831155142
  NPD (past)
• Richard A Jensen, MD

  • Nephrology Physician
  • Sioux Falls, SD
  • NPI 1083671408
  NPD (past)
• Dennis Gordon Leland, MD

  • Surgery Physician
  • Mitchell, SD
  • NPI 1467418772
  NPD (past)
• David T Malters, MD

  • Internal Medicine Physician
  • Mitchell, SD
  • NPI 1164525473
  NPD (past)
• Patricia B Malters, MD

  • Internal Medicine Physician
  • Mitchell, SD
  • NPI 1780757518
  NPD (past)
• Marcia K Nelsen, M.D.

  • Orthopaedic Surgery Physician
  • Viborg, SD
  • NPI 1629188289
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1770513475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N KIMBALL ST STE 600",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573015335",
            "telephone_number": "605-996-2031",
            "fax_number": "605-996-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N KIMBALL ST STE 600",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573015335",
            "telephone_number": "605-996-2031",
            "fax_number": "605-996-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PARR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-996-2031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "SD",
            "license": "48461",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "SD",
            "license": "48461",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "SD",
            "license": "42168",
            "primary": false
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "SD",
            "license": "42168",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "SD",
            "license": "42168",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SD",
            "license": "43D0407438",
            "primary": true
        },
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": "SD",
            "license": "18136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "690006160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Anesthesia PC
• Mitchell Bone and Joint Surgery
• Mitchell Chiropractic & Acupuncture Center, P.C.
• Mitchell Clinic LTD
• Mitchell Dental Clinic LLC
• Mitchell Family Practice, PC
• Mitchell Healthcare, LLC
• Mitchell Retirement
• Mitchell School District
• Mitchell Surgical Prof. L.L.C.

• Clinical Medical Laboratory in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Clinical Medical Laboratory in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.