DR. CRAIG R. MITCHELL (NPI# 1568424257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568424257 |
| Entity Type | Individual |
| Full Name | DR. CRAIG R. MITCHELL |
| Credential | MD |
| Practice Address |
8390 Champions Gate Blvd Suite 306 Champions Gate FL 33896-8310 |
| Practice Telephone | 4073901677 |
| Practice Fax Number | 4073901765 |
| Mailing Telephone | 4073901677 |
| Mailing Fax Number | 4073901765 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME102920 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841203239 | Craig Lee Mitchell | Dentist | 2946 Waterfront Parkway West Dr, Indianapolis, IN 46214-2007 | 2006-08-15 |
| 1720038060 | Craig Tullis Mitchell | Social Worker | 5922 S 2125 E, Ogden, UT 84403-5350 | 2006-05-10 |
| 1730268426 | Craig S Mitchell | Radiology | 411 Hamilton Blvd, 1824, Peoria, IL 61602-1144 | 2006-11-03 |
| 1538272927 | Craig Lewis Mitchell | Dentist | 1650 B Street, Haywood, CA 94541 | 2006-08-17 |
| Street Address |
8390 CHAMPIONS GATE BLVD SUITE 306 |
| City | CHAMPIONS GATE |
| State | FL |
| Zip Code | 33896-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082756 | Audra Virgina Hewett | Chiropractor | 8390 Champions Gate Blvd, Ste 108, Champions Gate, FL 33896-8311 | 2017-09-19 |
| 1265835375 | Robert Fore | Nurse Practitioner | 8390 Champions Gate Blvd, Suite 108, Champions Gate, FL 33896-8310 | 2014-10-02 |
| 1558638700 | Rene Yates | Physician Assistant | 8390 Champions Gate Blvd, Suite 306, Champions Gate, FL 33896-8310 | 2011-11-16 |
| 1861726259 | Mark E Briggs | Physician Assistant | 8390 Champions Gate Blvd, Suite 306, Champions Gate, FL 33896-8310 | 2009-10-01 |
| 1669659868 | Stefani Jo Heisler | Physician Assistant | 8390 Champions Gate Blvd, Suite 306, Champions Gate, FL 33896-8310 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299446 | Credence Homes LLC | In Home Supportive Care | 887 Knightsbridge Circle, Davenport, FL 33896 | 2020-09-10 |
| 1528685468 | Melodee Casas Contreras | Pharmacist | 6075 Hwy 17-92 N, Davenport, FL 33896 | 2020-06-26 |
| 1285296350 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 6075 Hwy 17-92 North, Davenport-polk, FL 33896 | 2019-06-28 |
| 1124476064 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 146 Sunset View Dr., Davenport, FL 33896 | 2016-06-01 |
| 1891176160 | Annissa Michael | Dentist | 7551 Osceola Polk Line Road, Davenport, FL 33896 | 2015-06-12 |
| 1780081869 | Legends Dermatology, LLC | Dermatology | 1497 Legends Boulevard, Davenport, FL 33896 | 2014-12-04 |
| 1144661166 | Parent Support, LLC | Community Based Residential Treatment Facility, Mental Illness | 389 Sand Ridge Dr., Davenport, FL 33896 | 2013-07-08 |
| 1982984498 | Ruba Khandakji | Pharmacist | 1395 Tuscana Lane, Davenport, FL 33896 | 2011-08-29 |
| 1326358029 | Sabrina C Pardo | Dietitian, Registered | 2000 Victoria Park Dr., Apt. 2302, Davenport, FL 33896 | 2010-10-15 |
| 1649598491 | Functional Physical Therapy, LLC | Physical Therapist | 1310 Island Green St, Champions Gate, FL 33896 | 2010-05-04 |
| Find all providers in zip 33896 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | CHAMPIONS GATE |
| Zip Code | 33896 |
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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.