DOMINIC T MITCHELL (NPI# 1144876806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144876806 |
| Entity Type | Individual |
| Full Name | DOMINIC T MITCHELL |
| Practice Address |
4626 Kavon Ave Baltimore MD 21206-5706 |
| Practice Telephone | 4437594006 |
| Practice Fax Number | 4432032636 |
| Mailing Telephone | 4437594006 |
| Mailing Fax Number | 4432032636 |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
4626 KAVON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21206-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
| 1962912444 | Meagan Carreira | Occupational Therapy Assistant | 5009 Frankfurt Avenue, Baltimore, MD 21206 | 2017-10-10 |
| 1821511551 | Anu Healthcare Services Inc | Psychiatry & Neurology | 4809 Belair Road, Baltimore, Maryland, MD 21206 | 2017-07-25 |
| 1447704648 | Belair Health Solutions, Inc | Counselor | 4825 Belair Rd., Baltimore, MD 21206 | 2016-08-05 |
| 1053716563 | Paule Kengne | Home Health Aide | 4602 Willshire Ave, Baltimore, MD 21206 | 2014-10-27 |
| 1821408733 | Shana Gee | Technician | 4238 Seidel Ave, Baltimore, MD 21206 | 2014-04-30 |
| 1902236524 | Heidi Ann Smith | Physical Therapist | 3910 Chesley Avenue, Baltimore, MD 21206 | 2013-11-18 |
| 1891138277 | Kenyona N Davis | Social Worker | 5622 Remmell Ave Unit F, Baltimore, MD 21206 | 2013-04-16 |
| 1497095368 | Aderonke Ogunsua | Home Health Aide | 4430 Moravia Rd Apt10, Baltimore, MD 21206 | 2013-02-28 |
| 1902173974 | Jennifer Lea Reed | Social Worker | 5901 Benton Heights Avenue, Baltimore, MD 21206 | 2011-11-19 |
| Find all providers in zip 21206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956593 | Tara Marcell Pettiford | Specialist | 3530 E Northern Pkwy, Baltimore, MD 21206-1632 | 2020-09-14 |
| 1164083101 | Chana Cohen | Specialist | 6417 Elray Dr Apt A, Baltimore, MD 21209-2928 | 2019-06-20 |
| 1619477742 | Colleen Marie Berry | Specialist | 7222 Fairbrook Rd, Baltimore, MD 21244-1751 | 2018-02-15 |
| 1104372853 | Clarkview Physicians | Specialist | 1427 Clarkview Road, 300, Baltimore, MD 21209 | 2016-08-31 |
| 1780055343 | Patricia M Disharoon Md | Specialist | 3414 Saint Paul St, Baltimore, MD 21218-2701 | 2015-10-08 |
| 1841673514 | Yen-i Chen | Specialist | 915 S Wolfe St Apt 529, Baltimore, MD 21231-3651 | 2015-06-30 |
| 1891184990 | Sean Raphaely | Specialist | 3619 Glengyle Ave, Baltimore, MD 21215-1556 | 2015-01-13 |
| 1144645862 | Miguel Reyes | Specialist | 11550 Crossroads Cir Unit 424, Baltimore, MD 21220-2975 | 2014-03-04 |
| 1336499722 | Holly A. Nelson, Pediatric Occupational Therapy, LLC | Specialist | 3811 Crestvale Ter, Baltimore, MD 21236-5201 | 2012-09-13 |
| 1154671485 | Jonathan Michael Lasson | Specialist | 8 Reservoir Cir Ste 103, Baltimore, MD 21208-6362 | 2012-09-13 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on DOMINIC T MITCHELL.
| 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.