Active NPI
Johnathan M Mitchell, DO
- Family Medicine Physician
- Moore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8730
- Practice address
- 700 S Telephone Rd Ste 201
Moore, OK 73160-2538 - Phone
- (405) 307-1000
- NPI assigned
- Apr 11, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8730 | OK | Primary |
Addresses
Primary practice location
700 S Telephone Rd Ste 201
Moore, OK 73160-2538
Mailing address
PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
700 S Telephone Rd
201 Primary Care Moore
Moore, OK 73160-2538
Phone (405) 912-3120
Hospital & facility affiliations
- Abiding Home Health of Oklahoma City
- Amedisys Home Health
- Norman Regional
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8730 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Regional Providers Primary Care | Family Medicine | Current | Accepting new patients |
| Norman Regional Hospital Authority | Past | Accepting new patients |
Locations
700 S Telephone Rd
Ste 400
Moore, OK 73160
Phone (405) 912-3100
700 S Telephone Rd
Ste 201
Moore, OK 73160
Phone (405) 307-5735
2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100
Interoperability endpoints
- jmitchell891393@direct.unc.nchie.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Norman, OK
- NPI 1548398274
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1255380275
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1417030446
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1871235648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701330",
"telephone_number": "405-307-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S TELEPHONE RD STE 201",
"city": "MOORE",
"state": "OK",
"postal_code": "731602538",
"telephone_number": "405-307-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JOHNATHAN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-11",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "8730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.
- 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.