DR. PHILIP V. MITCHELL (NPI# 1467530303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467530303 |
| Entity Type | Individual |
| Full Name | DR. PHILIP V. MITCHELL |
| Credential | MD |
| Practice Address |
120 Hospital Dr Suite 100 Lebanon MO 65536-9238 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4175336751 |
| Practice Fax Number | 4175336755 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 110627 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204808802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700203536 | Philip Mitchell | Counselor | 1041 Sharon Rd, Ste 201, King William, VA 23086-3347 | 2014-03-18 |
| 1508839895 | Philip W Mitchell | Emergency Medicine | 1404 N Maple St, Normal, IL 61761-1422 | 2006-02-08 |
| 1003897042 | Philip K Mitchell | Family Medicine | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2005-11-08 |
| 1821541681 | Philip Mitchell | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2016-07-28 |
| 1700130622 | Philip S. Mitchell | Counselor | 5345 Crossroads Drive, Acworth, GA 30102-2536 | 2012-10-30 |
| Street Address |
120 HOSPITAL DR SUITE 100 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023586 | Alyssa Lynn Wright | Nurse Practitioner | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2017-10-10 |
| 1922457886 | Katherine Becker | Nurse Practitioner | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2016-06-10 |
| 1760841571 | Alysa Barcus | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2016-02-22 |
| 1134595952 | David Houzenga | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2015-08-16 |
| 1124403944 | Lisa M. Boggs | Nurse Practitioner | 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 | 2015-07-22 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
| 1134478738 | Rajasekhar Tanikella | Hospitalist | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2012-08-29 |
| 1063784411 | Morgana Hazell | Counselor | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2012-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604606 | Stayton Family Practice Inc | Family Medicine | 41 E Ash St, Lebanon, OR 97355-3317 | 2018-10-01 |
| 1033693031 | Heather Heck | Family Medicine | 1701 Cornwal Road, Lebanon, PA 17042-7480 | 2018-09-17 |
| 1982113148 | A1 Health Care Clinic | Family Medicine | 703 East Main Street, # 8, Lebanon, KY 40444 | 2017-09-20 |
| 1952830127 | Juliana Zamora Cubillos | Family Medicine | 120 Hospital Dr Ste 100, Lebanon, MO 65536-9227 | 2017-06-09 |
| 1245781954 | Mountain States Health Alliance | Family Medicine | 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 | 2016-10-18 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1598108763 | Docare,llc | Family Medicine | 680 E Grant St, Lebanon, OR 97355-4432 | 2013-04-08 |
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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.