Roger A Mitchell Jr., MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

MD041970 Issued in DC

Practice address

2041 Georgia Ave NW
Washington, DC 20060-1904

Phone

(202) 441-1977

NPI assigned

Sep 20, 2019

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1790336832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 40TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191904",
            "telephone_number": "202-441-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200601904",
            "telephone_number": "202-441-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 40th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200191904",
            "country_code": "US",
            "telephone_number": "202-441-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "DC",
            "license": "MD041970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oshia Chanel Mitchell
• Phyliss Mitchell, HHA
• Pierre Ladon Mitchell
• Ricardo Mitchell
• Rochanda Denise Mitchell, DO, RD,
• Ronetta Mitchell
• Ruthie Yvette Mitchell
• Ryan Adrianne Mitchell
• Sean Kashief Mitchell
• Shanita Davelle Mitchell, ED.S.

• Forensic Pathology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Forensic Pathology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.