MICHAEL J MITCHELL MD FACS PLLC (NPI# 1386823045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386823045 |
| Entity Type | Organization |
| Organization Name | MICHAEL J MITCHELL MD FACS PLLC |
| Practice Address |
620 Tenth St Suite 715 Niagara Falls NY 14301 |
| Practice Telephone | 7162820349 |
| Practice Fax Number | 7162824152 |
| Mailing Telephone | 7162820349 |
| Mailing Fax Number | 7162824152 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | MICHAEL J MITCHELL (OWNER PRESIDENT) |
| Authorized Official Telephone | 7162820349 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 1918411 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
1918411 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
620 TENTH ST SUITE 715 |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559354 | Shelita H Pugh | Licensed Practical Nurse | 1320 Lasalle Ave., Niagara Falls, NY 14301 | 2020-08-20 |
| 1043664758 | Sevan Evren | Internal Medicine | 533 Tenth Street, Niagara Falls, NY 14301 | 2016-04-19 |
| 1396106423 | Cidalia Cota | Massage Therapist | 3507 Pine Ave, Niagara Falls, NY 14301 | 2016-03-17 |
| 1669878203 | Maureen Lester | Dietitian, Registered | 612 -10th Street, Niagara Falls, NY 14301 | 2014-11-10 |
| 1972855997 | Julia A Sturdivant | Registered Nurse | 910 Hyde Park Boulevard, Niagara Falls, NY 14301 | 2012-10-15 |
| 1760762611 | Daniel James Ort | Counselor | 1001 11 St, Northpointe Council Inc., Niagara Falls, NY 14301 | 2011-08-24 |
| 1013246164 | Dawn Cheryl Phillips | Counselor | 1001 11th St., Northpointe Council Inc., Niagara Falls, NY 14301 | 2009-12-21 |
| 1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
| 1356505465 | Cassandra Marie Carter | Registered Nurse | 2020 Woodlawn Ave, Niagara Falls, NY 14301 | 2008-07-17 |
| 1013179951 | Ameeta Manhas | Psychiatry & Neurology | 621 Tenth Street., Niagara Falls, NY 14301 | 2008-07-01 |
| Find all providers in zip 14301 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306952049 | Alfred Fast | Surgery | 620 10th St, Suite 707, Niagara Falls, NY 14301-1841 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14301 |
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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.