SCOTT E MITCHELL (NPI# 1003864547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003864547 |
Entity Type | Individual |
Full Name | SCOTT E MITCHELL |
Credential | PA-C |
Practice Address |
4015 Gateway Blvd Suite 2120 Newburgh IN 47630-8925 |
Mailing Address |
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-9460 |
Practice Telephone | 8128420907 |
Practice Fax Number | 8124640536 |
Mailing Telephone | 8128420907 |
Mailing Fax Number | 8124640536 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2017-05-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10000118 | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 000000108475 | 01 | |
HEALTHLINK | 179627 | 01 | |
KY | 9500121000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
1023473402 | Scott Mitchell | Licensed Practical Nurse | 106 Robin Pl, Soldotna, AK 99669-8001 | 2015-12-29 |
1518232032 | Scott Mitchell | Chiropractor | 23101 Linden Blvd, Cambria Heights, NY 11411-1853 | 2012-03-16 |
1417963026 | Scott Christopher Mitchell | Family Medicine | 60 Millennium Cir, Ringgold, GA 30736-2775 | 2006-08-01 |
1649286022 | Scott A Mitchell | Pharmacist | 208 East Main St, Everson, WA 98247-0307 | 2006-07-31 |
1952305849 | Scott A Mitchell | Anesthesiology | 3601 Nw 138th St, Ste 200, Oklahoma City, OK 73134-2507 | 2005-06-08 |
1811548415 | Scott A Mitchell | Chiropractor | 2612 S Lamar Blvd, Austin, TX 78704-4733 | 2019-09-25 |
1174987580 | Scott Archer Mitchell | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-12 |
1730502154 | Scott Mitchell | Social Worker | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2014-01-22 |
1265791040 | Scott A. Mitchell | Social Worker | 3555 Commonwealth Blvd, Tallahassee, FL 32303-3119 | 2012-05-14 |
Street Address |
4015 GATEWAY BLVD SUITE 2120 |
City | NEWBURGH |
State | IN |
Zip Code | 47630-8925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336142728 | Mohammed A Allaw | Internal Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2005-05-31 |
1689289233 | Deaconess Hospital, Inc. | Psychologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-09-10 |
1841809696 | Jenna M Rickenbaugh | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-07-28 |
1669006284 | Brooke E Louthan | Audiologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-02-24 |
1750940656 | Abbey L Schmitt | Audiologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2019-06-13 |
1427542083 | Phillip J Anderson | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-06-18 |
1043709215 | Erica B Schmitt | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-05-03 |
1548763576 | Sara Gayl Hamilton | Family Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-03-15 |
1487184156 | Jessica M Cox | Family Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2017-06-15 |
1871023556 | Dhruvin N Mehta | Family Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2017-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
Find all providers in zip 47630 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801040126 | Maridanielle D. Annicchiarico, Registered Physician Assistant-certifie | Physician Assistant | 15 Black Angus Ct, Newburgh, NY 12550-1567 | 2008-11-13 |
1255990511 | Marcus Philip Maier | Physician Assistant | 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 | 2019-06-11 |
1114315116 | Lauren Richardson | Physician Assistant | 4055 Gateway Blvd, Newburgh, IN 47630-8947 | 2014-12-30 |
1184864241 | Rebecca A Gentry | Physician Assistant | 4015 Gateway Blvd, Ste 2120, Newburgh, IN 47630-8925 | 2009-03-03 |
1023261294 | Carolyn Baker | Physician Assistant | 400 Gidney Ave, Newburgh, NY 12550-3760 | 2008-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.