DR. DOUGLAS MITCHELL (NPI# 1144644394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144644394 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS MITCHELL |
| Credential | PHD, RN, BC |
| Practice Address |
3507 N 25th Pl 3507 N 25th Pl Phoenix AZ 85016-7429 |
| Mailing Address |
3507 N 25th Pl David Douglas LLC Phoenix AZ 85016-7429 |
| Practice Telephone | 6026867825 |
| Practice Fax Number | 8883797304 |
| Mailing Telephone | 6026867825 |
| Mailing Fax Number | 8883797304 |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2016-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
3196962 | FL | Behavioral Health & Social Service Providers |
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
122954 | AZ | Nursing Service Providers |
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
272425 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNESSEE SELECT MEDICARE ADV | NC8227319 | 01 |
| AZ | AZ HELTCHC PRFRD | NC8227319 | 01 |
| UT | UT HELTCHC PRFRD | NC8227319 | 01 |
| FL | FLORIDA HUMANA SELECT, PPO AND GOLD | NC8227319 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992954705 | Douglas L. Mitchell | Counselor | 610 Elm Street, Ste. 212, San Carlos, CA 94070 | 2008-09-17 |
| 1891914586 | Douglas S Mitchell | Dentist | 2145 Central Ave, Alameda, CA 94501-2899 | 2007-04-24 |
| 1861573545 | Douglas Nathan Mitchell | Chiropractor | 111 Felton Dr, Rockmart, GA 30153-2013 | 2006-10-18 |
| 1083614481 | Douglas Mitchell | Hospitalist | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 | 2005-07-28 |
| 1780029389 | Douglas Mitchell | Massage Therapist | 139 S Main St, Nazareth, PA 18064-2016 | 2013-05-08 |
| 1063748440 | Douglas Roy Mitchell | Pathology | 200 Portland St, Columbia, MO 65201-6525 | 2009-10-20 |
| 1033443601 | Douglas Mitchell | Specialist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2009-09-29 |
| 1922131606 | Douglas Mitchell | Physical Therapist | 25229 S Sun Lakes Blvd, Ste 119, Sun Lakes, AZ 85248-6453 | 2007-03-13 |
| 1255350823 | Douglas Mitchell | Pediatrics | 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | 2006-07-18 |
| 1528017175 | Douglas Haig Mitchell Jr. | Social Worker | 650 E Indian School Rd, Cs/122, Phoenix, AZ 85012-1839 | 2006-05-10 |
| Street Address |
3507 N 25TH PL 3507 N 25TH PL |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837393 | Shawn Claire O'hara | Registered Nurse | 34905 N 27th Ln, Phoenix, AZ 85086-6666 | 2015-07-21 |
| 1790820843 | Dianne Jeanette Dombrowski | Registered Nurse | 7548 N 7th Ave, Phoenix, AZ 85021 | 2007-02-20 |
| 1134282445 | Linda Baht | Registered Nurse | 4308 E Nisbet Rd, Phoenix, AZ 85032-8105 | 2006-12-18 |
| 1942399381 | Carol Serena Marciano | Registered Nurse | 3616 E Kachina Dr, Phoenix, AZ 85044-3431 | 2006-10-12 |
| 1912009663 | Karen Grace Hausteen | Registered Nurse | 13252 N 38th Pl, Phoenix, AZ 85032-6608 | 2006-09-02 |
| 1306496302 | Haley Lynn Crise | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-09-12 |
| 1124677869 | Kellie Lorraine Cox | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-09-05 |
| 1780166439 | Amy Allison Starks | Registered Nurse | 15060 S 39th St, Phoenix, AZ 85044-6612 | 2018-08-29 |
| 1932692829 | Matthew A Gibson | Registered Nurse | 15060 S 39th St, Phoenix, AZ 85044-6612 | 2018-06-14 |
| 1487141248 | Thomas Leblanc | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2018-04-17 |
| Find all providers in PHOENIX | ||||
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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.