Active NPI
Michael J. Mitchell, MD
- Internal Medicine Physician
- Dartmouth, MA
National Provider Identifier
1992774343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D76260
- Practice address
- 531 Faunce Corner Rd
Dartmouth, MA 02747-1242 - Phone
- (508) 996-3991
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D76260 | MD | Primary |
Addresses
Primary practice location
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Mailing address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other practice location 1
531 Faunce Corner Rd
Dartmouth, MA 02747
Phone (508) 996-3991 ext. 2857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110034072A | Medicaid | MA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D76260 | MD | MD | Internal Medicine Physician |
| 31263 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Primary Care Inc | Internal Medicine | Past | Accepting new patients |
| Southcoast Physicians Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Western Maryland Health Care Corporation | Past | Accepting new patients | |
| Hawthorn Medical Associates, LLC | Internal Medicine | Past | Accepting new patients |
| Wih Faculty Practice, Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Adult Health Nurse Practitioner
- North Dartmouth, MA
- NPI 1508825811
Internal Medicine
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Internal Medicine
-
- Family Medicine Physician
- Mattapoisett, MA
- NPI 1891783189
Internal Medicine
-
- Obstetrics & Gynecology Physician
- New Bedford, MA
- NPI 1538113436
-
- Federally Qualified Health Center (FQHC)
- Bruceton Mills, WV
- NPI 1679269807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1992774343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
}
],
"practiceLocations": [
{
"address_1": "531 Faunce Corner Rd",
"address_purpose": "LOCATION",
"city": "Dartmouth",
"state": "MA",
"postal_code": "02747",
"country_code": "US",
"telephone_number": "508-996-3991 x2857",
"fax_number": "508-961-2965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D76260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110034072A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.