MITCHELL ORAL SURGERY, LLC (NPI# 1427146489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427146489 |
| Entity Type | Organization |
| Organization Name | MITCHELL ORAL SURGERY, LLC |
| Practice Address |
5511 Highway 280 Suite 118 Birmingham AL 35242-6585 |
| Practice Telephone | 2059809000 |
| Practice Fax Number | 2059801399 |
| Mailing Telephone | 2059809000 |
| Mailing Fax Number | 2059801399 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PHILLIP ANTHONY MITCHELL (OWNER) |
| Authorized Official Telephone | 2059809000 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
03787 | AL | Dental Providers |
| X | 204E00000X | Oral & Maxillofacial Surgery | 17041 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 06576 | 01 |
| Street Address |
5511 HIGHWAY 280 SUITE 118 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-6585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699754556 | Pharmacotherapy Consultant Service, LLC | Pharmacy | 5511 Highway 280, Suite 301, Birmingham, AL 35242-6585 | 2006-01-10 |
| 1649557992 | Katherine Nicole Patten | Physical Therapist | 5511 Highway 280, Suite 105, Birmingham, AL 35242-6585 | 2011-11-14 |
| 1154600880 | Ankles & Feet Podiatry PC | Podiatrist | 5511 Highway 280, Ste 124, Birmingham, AL 35242-6585 | 2011-08-11 |
| 1659680213 | Physiotherapy Associates | Specialist/Technologist | 5511 Highway 280, Suite 105, Birmingham, AL 35242-6585 | 2010-09-30 |
| 1013239276 | Betty A Morris | Pharmacist | 5511 Highway 280, Suite 301, Birmingham, AL 35242-6585 | 2010-02-15 |
| 1558695726 | Lori A. Kirkpatrick | Audiologist-Hearing Aid Fitter | 5511 Highway 280, Suite 103, Birmingham, AL 35242-6585 | 2009-09-22 |
| 1073730602 | Jett Medical Co LLC | Durable Medical Equipment & Medical Supplies | 5511 Highway 280, Suite 312, Birmingham, AL 35242-6585 | 2007-04-18 |
| 1851479208 | Jeffrey Darnell Vernon | Pharmacist | 5511 Highway 280, Greystone Park Suite 301, Birmingham, AL 35242-6585 | 2006-11-02 |
| 1063590321 | Suzanne M. Vernon | Pharmacist | 5511 Highway 280, Greystone Park Suite 301, Birmingham, AL 35242-6585 | 2006-11-02 |
| 1053325167 | Phillip Anthony Mitchell | Dentist | 5511 Highway 280, Suite 118, Birmingham, AL 35242-6585 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| 1063506533 | Harold Newton Burton | Dentist | 1771 Independence Court, Suite 2, Birmingham, AL 35216 | 2006-10-02 |
| 1982719639 | William Pettus Buck Jr. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2006-08-21 |
| 1578677233 | Christopher Michael Rothman | Dentist | 2290 Valleydale Road, Suite 100, Birmingham, AL 35244-2011 | 2006-08-19 |
| 1669441333 | Dennis Dale Carr | Dentist | 101 Heatherbrooke Park Dr, Birmingham, AL 35242-8008 | 2006-03-16 |
| 1497739494 | Jon D Holmes | Dentist | 1500 19th St S, Suite 200, Birmingham, AL 35205-5628 | 2005-12-02 |
| 1811979719 | Jonathon Henning Anderson | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009-6618 | 2005-11-16 |
| 1881236883 | Blake Phillips D.m.d., P.C. | Dentist | 1112 19th St S, Birmingham, AL 35205-4814 | 2019-10-10 |
| 1003378274 | Ryan Chase Seeley | Dentist | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2019-04-04 |
| 1598255044 | Birmingham Oral & Maxillofacial Surgery, Plc | Dentist | 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009 | 2018-05-10 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.