Individual provider Active NPI

Christopher Mitchell, PA C

  • Physician Assistant
  • Mayfield Heights, OH
National Provider Identifier
1972583375
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-002273RX Issued in OH
Practice address
5915 Landerbrook Dr
Ste. 110
Mayfield Heights, OH 44124-4039
Phone
(216) 381-3333
Fax
(216) 381-3002
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-002273RX OH Primary

Addresses

Primary practice location

5915 Landerbrook Dr
Ste. 110
Mayfield Heights, OH 44124-4039

Mailing address

5915 Landerbrook Dr
Ste. 110 Allergy Immunology Assoc., Inc.
Mayfield Heights, OH 44124-4039
Phone (216) 381-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000421 OH Practitioner - Physician Assistant 6204025505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Immunology Associates IncGroup PAC ID 5991739690, 7 clinicians

Practice addresses (Care Compare)

25761 Lorain Rd
FL 3
North Olmsted, OH 44070-3369
Phone (440) 779-1112

5915 Landerbrook Dr
Suite 110
Mayfield Heights, OH 44124-4034
Phone (216) 381-3333

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-002273RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health System - East Region CurrentSince Jan 1, 2019 Accepting new patients

Locations

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1972583375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 LANDERBROOK DR",
            "address_2": "STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244039",
            "telephone_number": "216-381-3333",
            "fax_number": "216-381-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 LANDERBROOK DR",
            "address_2": "STE. 110",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244039",
            "telephone_number": "216-381-3333",
            "fax_number": "216-381-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHRISTOPHER",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002273RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.