DR. ANTHONY L MITCHELL (NPI# 1013968080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013968080 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY L MITCHELL |
| Credential | MD |
| Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
| Mailing Address |
10151 Deerwood Park Blvd Jacksonville FL 32256-0566 |
| Practice Telephone | 4103286704 |
| Practice Fax Number | 4103284124 |
| Mailing Telephone | 5044176225 |
| Mailing Fax Number | 4103284124 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D69403 | MD | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 057221 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 024342 | LA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D69403 | MD | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
024342 | LA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
057221 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 419682100 | 05 | |
| GA | BLUE CROSS | 0137 | 01 |
| GA | WELLCARE | 361896 | 01 |
| MD | BLUE CROSS | 0137 | 01 |
| GA | 342360871B | 05 | |
| GA | RAILRAOD MEDICARE | P00334342 | 01 |
| GA | 342360871A | 05 | |
| GA | BCBS | 52173131 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1073819579 | Anthony Glenn Mitchell Sr. | Foster Care Agency | 862 S Main St, Brigham City, UT 84302-3320 | 2011-01-31 |
| 1649398439 | Anthony John Mitchell | Dentist | 2810 Nacogdoches Rd, San Antonio, TX 78217-5827 | 2007-03-27 |
| 1679563977 | Anthony Mitchell | Nurse Practitioner | 1959 Ne Pacific St, Box 356174, Seattle, WA 98195-6174 | 2005-10-27 |
| Street Address |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471893 | Portia Irene Chipendo | Emergency Medicine | 1830 E Monument St Ste 6, Baltimore, MD 21287-0020 | 2016-03-30 |
| 1780062695 | Michael Gorynski | Emergency Medicine | 4940 Eastern Ave Fl 1s, Baltimore, MD 21224-2735 | 2015-05-12 |
| 1922494392 | Michael Robbins | Emergency Medicine | 1303 Union Ave, Baltimore, MD 21211-1904 | 2015-04-12 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1780001883 | Michael Weldon Diana | Emergency Medicine | The Johns Hopkins Hospital Department Of, 1800 Orleans Street, Baltimore, MD 21287 | 2014-03-26 |
| 1083031330 | Rittik Chaudhuri | Emergency Medicine | 5801 Smith Ave Ste 220, Baltimore, MD 21209-3607 | 2014-03-25 |
| 1780025700 | Nicholas Pereira Risko | Emergency Medicine | 6 S Collington Ave, Baltimore, MD 21231-2011 | 2013-07-08 |
| 1871852962 | Maryland Emergency Medicine Network Physicians, LLC | Emergency Medicine | 323 W Camden St, Baltimore, MD 21201 | 2012-05-09 |
| 1760758254 | Casey Lee Wilson | Emergency Medicine | Jhh 1830 E Monument St, 6-100, Baltimore, MD 21287-0001 | 2012-03-28 |
| 1295027837 | Anastasia Grivoyannis | Emergency Medicine | 1800 Orleans St Ste 6321, Baltimore, MD 21287-0010 | 2011-05-13 |
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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.