Debra Mitchell, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14718 Issued in OK

Practice address

2601 Kelley Pointe Pkwy
Ste 101
Edmond, OK 73013-2996

Phone

(405) 844-2601

Fax

(405) 844-2610

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Breast Imaging of Oklahoma, LLC

  • Specialist
  • Edmond, OK
  • NPI 1588734925
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1992701684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 KELLEY POINTE PKWY",
            "address_2": "STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132996",
            "telephone_number": "405-844-2601",
            "fax_number": "405-844-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KELLEY POINTE PKWY",
            "address_2": "STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132996",
            "telephone_number": "405-844-2601",
            "fax_number": "405-844-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "14718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Joseph Miranov
• McCauley Misuraca
• Mitchell Horowitz MD PC
• Angela Carol Mitchell, M.ED., LPC
• Barry J Mitchell, MD
• Echo Mitchell
• Elizabeth Mitchell, M.ED.
• Kiersten Mitchell
• Rhonda J Mitchell, BS
• Ryanne Mitchell, MA, LPC

• Diagnostic Radiology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.