Active NPI
Michael D. Mitchell Physician PC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Jamestown, NY
National Provider Identifier
1871749127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 162887
- Legal business name
- MICHAEL D. MITCHELL PHYSICIAN PC
- Practice address
- 207 Foote Ave
Wca Hospital
Jamestown, NY 14701-7077 - Phone
- (716) 487-1124
- NPI assigned
- Aug 18, 2008
- Last updated
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael D Mitchell, M.D.
- Title
- Practitioner
- Phone
- (716) 487-1124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 162887 | NY | Primary |
Addresses
Primary practice location
207 Foote Ave
Wca Hospital
Jamestown, NY 14701-7077
Mailing address
28 Maple Street
PO Box 41
Jamestown, NY 14702-0041
Phone (716) 487-1124
Other names 1
- Michael D. Mitchell MD PC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1871749127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MAPLE STREET",
"address_2": "PO BOX 41",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147020041",
"telephone_number": "716-487-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FOOTE AVE",
"address_2": "WCA HOSPITAL",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147017077",
"telephone_number": "716-487-1124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D. MITCHELL PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "716-487-1124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "162887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michael D. Mitchell MD PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.