Active NPI
Scott A Mitchell, DO
- Interventional Pain Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1952305849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 2802
- Practice address
- 3601 NW 138TH St
Ste 200
Oklahoma City, OK 73134-2507 - Phone
- (405) 775-9350
- Fax
- (405) 775-9360
- NPI assigned
- Jun 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 2802 | OK | Primary |
| Anesthesiology Physician | 207L00000X | 2802 | OK |
Addresses
Primary practice location
3601 NW 138TH St
Ste 200
Oklahoma City, OK 73134-2507
Mailing address
3601 NW 138TH St
Ste 200
Oklahoma City, OK 73134-2507
Phone (405) 775-9350
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100124110A | Medicaid | OK | |
| 050074315 | Other | OK | MEDICARE RR |
| 100124110B | Medicaid | OK | |
| P00452075 | Other | OK | MEDICARE RR |
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience Specialists PC | Past | Accepting new patients | |
| Summit Medical Center | Interventional Pain Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Oklahoma City, OK
- NPI 1215319371
-
- Neurological Surgery Physician
- Oklahoma City, OK
- NPI 1548239494
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1952305849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 NW 138TH ST",
"address_2": "STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342507",
"telephone_number": "405-775-9350",
"fax_number": "405-775-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 NW 138TH ST",
"address_2": "STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342507",
"telephone_number": "405-775-9350",
"fax_number": "405-775-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "2802",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "2802",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124110A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "050074315",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124110B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00452075",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.