MICHAEL J. MITCHELL (NPI# 1255315115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255315115 |
| Entity Type | Individual |
| Full Name | MICHAEL J. MITCHELL |
| Credential | MD |
| Practice Address |
55 Lake Ave N Department of Clinical Pathology Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 7744429271 |
| Practice Fax Number | 7744429604 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
58562 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3037061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506652 | Michael Todd Mitchell | Non-emergency Medical Transport (VAN) | 417 Dunvegan Ct, Lafayette, LA 70503-6089 | 2018-11-03 |
| 1447727227 | Michael Ben Mitchell | Counselor | 6071 E Woodmen Rd Ste 320, Colorado Springs, CO 80923-2612 | 2018-10-30 |
| 1942686035 | Michael Mitchell | Nurse Practitioner | 4200 Willow Bend Ln, Port Arthur, TX 77642-7231 | 2015-07-31 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
| 1538592902 | Michael Spencer Mitchell | Dentist | 1001 Shadow Ln # Ms 7415, Las Vegas, NV 89106-4124 | 2013-08-20 |
| 1194168807 | Michael Shane Mitchell | Military Health Care Provider | 5371 Washington St, Camp Lejeune, NC 28547-1104 | 2013-04-11 |
| 1760699037 | Michael S Mitchell | Social Worker | 109 W 27th St Ste 8a, New York, NY 10001 | 2007-05-17 |
| 1891852059 | Michael Rickey Mitchell | Counselor | 699 Piedmont Ave Ne Ste B2, Atlanta, GA 30308-1400 | 2007-01-03 |
| 1538234315 | Michael A. Mitchell | Chiropractor | 5313 Arctic Blvd, Suite 101, Anchorage, AK 99518-1111 | 2006-11-21 |
| 1871605980 | Michael Scott Mitchell | Chiropractor | 9188 E San Salvador Dr Ste 201, Scottsdale, AZ 85258-5534 | 2006-08-31 |
| Street Address |
55 LAKE AVE N DEPARTMENT OF CLINICAL PATHOLOGY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710952429 | Jeffrey Sean Saenger | Pathology | 120 Front St, Worcester, MA 01608-1413 | 2006-02-17 |
| 1073598652 | Irma O Szymanski | Pathology | 55 Lake Ave N, Department of Pathology, Worcester, MA 01655-0002 | 2005-12-07 |
| 1346224276 | Lauren L Hiestand | Pathology | 55 Lake Ave N, Department of Pathology - Blood Bank, Worcester, MA 01655-0002 | 2005-12-05 |
| 1588646905 | Edward I Ginns | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-11-20 |
| 1629050810 | Louis M. Snyder | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518101914 | Christopher J Ianelli | Pathology | 40 Bay State Rd, Belmont, MA 02478-2241 | 2009-04-29 |
| 1972753838 | Umarani Thamaraichelvan | Pathology | Salter School, 184 West Boylston, Boston, MA 01583 | 2008-09-26 |
| 1033307384 | Ramy Arnaout | Pathology | 99 Shaw Rd, Chestnut Hill, MA 02467-3121 | 2007-10-11 |
| 1124247440 | Howard M Shapiro | Pathology | 283 Highland Ave, West Newton, MA 02465-2513 | 2007-04-25 |
| 1891816955 | Bradley E Bernstein | Pathology | Brigham & Womens Hospital, Dep, 75 Francis Street, Boston, MA 02138 | 2007-04-03 |
| 1205979697 | Matthew L Meyerson | Pathology | Dana-farber Cancer Insti, M 430, Boston, MA 02115 | 2007-02-15 |
| 1962574871 | Vikram Sheel Kumar | Pathology | Department of Pathology, Brigham and Women's Hospital, Amory 2, 75 Francis Street, Boston, MA 02115 | 2006-11-15 |
| 1730262148 | Frank Greco | Pathology | 250 Grove St, Lexington, MA 02420-1014 | 2006-10-23 |
| 1861598179 | Richard J Benjamin | Pathology | 75 Francis St., Brigham & Women's Hosp, Boston, MA 02115 | 2006-09-15 |
| 1285739276 | Pathology Diagnostic Services P.C. | Pathology | 377 Woodland Circle, Ludlow, MA 01056 | 2006-09-14 |
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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.