Active NPI
John D Mitchell, M.D.
- Urology Physician
- N Kansas City, MO
National Provider Identifier
1821076647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 29188
- Practice address
- 2750 Clay Edwards Dr
N Kansas City, MO 64116-3237 - Phone
- (816) 561-7414
- Fax
- (816) 561-6130
- NPI assigned
- Jan 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29188 | MO | Primary |
Addresses
Primary practice location
2750 Clay Edwards Dr
N Kansas City, MO 64116-3237
Mailing address
2750 Clay Edwards Dr
N Kansas City, MO 64116-3258
Phone (816) 561-7414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29188 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Urology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1821076647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR",
"city": "N KANSAS CITY",
"state": "MO",
"postal_code": "641163258",
"telephone_number": "816-561-7414",
"fax_number": "816-561-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR",
"city": "N KANSAS CITY",
"state": "MO",
"postal_code": "641163237",
"telephone_number": "816-561-7414",
"fax_number": "816-561-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JOHN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "29188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.