DR. WILLIAM B MITCHELL (NPI# 1376512533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376512533 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM B MITCHELL |
| Other Name | DR. W BEAU MITCHELL |
| Credential | M.D. |
| Practice Address |
3411 Wayne Ave Fl 9 Bronx NY 10467 |
| Mailing Address |
3411 Wayne Ave Fl 9 Bronx NY 10467-2552 |
| Practice Telephone | 7187412342 |
| Mailing Telephone | 7187412342 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 210245 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
210245 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3411 Wayne Ave Fl 9, Bronx, NY 10467 | 7187412342 |
| 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 |
3411 WAYNE AVE FL 9 |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932593464 | Margo Sheck Breilyn | Medical Genetics | 3411 Wayne Ave Fl 9, Bronx, NY 10467-2552 | 2015-03-23 |
| 1699192500 | Kaitlin Strumph | Pediatrics | 3411 Wayne Ave Fl 9, Bronx, NY 10467-2552 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780972067 | Rochelle Renae Maxwell | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2011-07-20 |
| 1982839858 | Jeremy Rosenblum | Pediatrics | 111 E 210th St, Rosenthal 3, Bronx, NY 10467-2401 | 2009-05-21 |
| 1710152236 | Lisa Marie Gennarini | Pediatrics | 3415 Bainbridge Ave, Rosenthal 303, Bronx, NY 10467-2403 | 2008-04-25 |
| 1477751147 | Manpreet Kaur Ahluwalia | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2007-07-04 |
| 1568524650 | Rosanna Jane Ricafort | Pediatrics | 3415 Bainbridge Avenue, Bronx, NY 10467-2490 | 2006-12-14 |
| 1710065974 | Adam S Levy | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-11-02 |
| 1215013156 | Thomas A Moulton | Pediatrics | 2432 Grand Concourse, Poe Clinic, Bronx, NY 10458 | 2006-10-31 |
| 1215013164 | Eva G Radel | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
| 1427134360 | Richard G Gorlick | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
| 1437235702 | Catherine Driscoll | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-30 |
| Find all providers in BRONX | ||||
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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.