WILLIAM A MITCHELL JR. (NPI# 1194791186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194791186 |
| Entity Type | Individual |
| Full Name | WILLIAM A MITCHELL JR. |
| Credential | M.D. |
| Practice Address |
65 Walnut St Ste 440 Wellesley MA 02481-2196 |
| Mailing Address |
65 Walnut St Suite 440 Wellesley MA 02481-2118 |
| Practice Telephone | 7812359089 |
| Practice Fax Number | 7812375121 |
| Mailing Telephone | 7812359089 |
| Mailing Fax Number | 7814896146 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
52543 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM | 172421 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J03422 | 01 |
| MA | AETNA | 2438941 | 01 |
| MA | 3007561 | 05 | |
| MA | TUFTS HEALTH PLAN | 052543 | 01 |
| MA | RAILROAD MEDICARE | P00271550 | 01 |
| MA | FALLON COMMUN HEALTH PLAN | 69218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1073098497 | William Lee Mitchell | Naturopath | 2200 W San Angelo St Apt 3030, Gilbert, AZ 85233-2213 | 2018-10-02 |
| 1083986384 | William J Mitchell | Internal Medicine | 1304 Los Arboles Ave Nw, Albuquerque, NM 87107-1014 | 2012-02-01 |
| 1376836254 | William Ryan Mitchell | Orthopaedic Surgery | 10810 Parkside Dr Ste 209, Knoxville, TN 37934-1985 | 2011-05-25 |
| 1588709794 | William F. Mitchell Jr. | Pharmacist | 800 Ste. Genevieve Drive, Ste. Genevieve, MO 63670 | 2007-02-21 |
| 1679614887 | William P Mitchell Jr. | Dentist | 400 G St Ne, Suite 1, Washington, DC 20002 | 2007-02-09 |
| 1205975422 | William Edgefield Mitchell Jr. | Surgery | 9a Rocky Slope Dr, Santa Fe, NM 87508-1345 | 2007-02-05 |
| 1700944634 | William Henry Mitchell Jr. | Podiatrist | 3907 Palm, Houston, TX 77004-6532 | 2006-12-04 |
| 1740393735 | William Edgefield Mitchell IIi | Psychologist | 1595 Elmwood Ave Ste 2, Rochester, NY 14620-3602 | 2006-08-16 |
| 1811949308 | William R Mitchell | Internal Medicine | 10030 Gilead Rd., Suite 344, Huntersville, NC 28078-7545 | 2006-05-16 |
| Street Address |
65 WALNUT ST STE 440 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676394 | Wellesley Dermatology Care | Dermatology | 65 Walnut St Ste 440, Wellesley, MA 02481-2196 | 2020-07-08 |
| 1053448365 | Colleen Rooney | Nurse Practitioner | 65 Walnut St Ste 440, Wellesley, MA 02481-2196 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1154805281 | Jonathan Vandale | Orthopaedic Surgery | 60 Fenwood Rd Fl 2, Boston, MA 02115-6128 | 2018-09-25 |
| 1073023339 | Lauren Elizabeth Bruno | Orthopaedic Surgery | 200 Providence Hwy Ste 200, Dedham, MA 02026-1881 | 2017-10-02 |
| 1386022218 | Mark Pohlman | Orthopaedic Surgery | 165 Converse St, Unit #9, Longmeadow, MA 01106-1711 | 2015-05-12 |
| 1851710487 | Evan Alexander O'donnell | Orthopaedic Surgery | 55 Fruit Street, Yaw3-3561, Boston, MA 02114 | 2014-04-10 |
| 1588869168 | Matthew J Salzler | Orthopaedic Surgery | 800 Washington St # 306, Boston, MA 02111-1552 | 2007-06-15 |
| 1497891030 | Laurie M Katz | Orthopaedic Surgery | 2000 Washington St, #341, Newton Wellesley Orthopedic Assoc., Inc, Newton, MA 02462-1602 | 2007-01-30 |
| 1386691087 | Richard R Renaud | Orthopaedic Surgery | 54 Mary Lou Ct, Raynham, MA 02767-5253 | 2006-05-28 |
| 1457339491 | Thomas J. Gill Iv | Orthopaedic Surgery | 40 Allied Dr, Dedham, MA 02026-6146 | 2006-01-09 |
| 1518957935 | Gilbert L Shapiro | Orthopaedic Surgery | 84 Grape St, New Bedford, MA 02740-2143 | 2005-10-26 |
| Find all providers with the same taxonomy | ||||
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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.