Hope Mitchell MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HOPE MITCHELL MD LLC

Doing business as

Mitchell Dermatology

Practice address

815 Commerce Dr
Perrysburg, OH 43551-5255

Phone

(419) 871-3737

Fax

(419) 873-8329

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hope Mitchell, M.D.NPI 1134144322

Title

Owner

Phone

(419) 872-4673

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Mitchell Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Hope Terecia Mitchell, M.D.

  • Dermatology Physician
  • Perrysburg, OH
  • NPI 1134144322
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Marie Bergman, PA-C

  • Medical Physician Assistant
  • Perrysburg, OH
  • NPI 1639468184
  Medicare reassignment Care Compare group
• Joycelyn Dumfeh

  • Dermatology Physician
  • Perrysburg, OH
  • NPI 1225832439
  NPD
• Clare Elizabeth Whitner

  • Physician Assistant
  • Perrysburg, OH
  • NPI 1134870322
  NPD
• Desiree Marie Morrison, PA-C

  • Physician Assistant
  • Wyoming, MN
  • NPI 1891251690
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1811178254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515255",
            "telephone_number": "419-871-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515255",
            "telephone_number": "419-871-3737",
            "fax_number": "419-873-8329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Bartson Rd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "OH",
            "postal_code": "434208536",
            "country_code": "US",
            "telephone_number": "419-871-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE MITCHELL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-872-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0845852",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "P00212955",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H065730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "H107860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD1846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Care Network, Inc. (Maternal Child Health of Home Care Network, Inc.)
• Home Care Network, Inc.
• Johnny C Hong, MD
• Hope Christian Counseling Center (Hope Counseling Center)
• Hope Institute of America (The Hope Insitute of CUSD)
• Aleijah Hopkins
• Shelley Horine, LPC
• Brandon Horn, MD
• Hospice of Northwest Ohio
• Hospice of Northwest Ohio

• Dermatology Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.