DR. MITCHELL CARL (NPI# 1659377950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659377950 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL CARL |
| Credential | MD |
| Practice Address |
1 Trillium Way Ste 302 Corbin KY 40701-8426 |
| Mailing Address |
520 Techwood Drive Suite 100 Danville KY 40422-8500 |
| Practice Telephone | 6065285000 |
| Practice Fax Number | 6065285113 |
| Mailing Telephone | 8599369844 |
| Mailing Fax Number | 8592382206 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2013-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
37722 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 500000606 | 01 |
| KY | BLUEGRASS FAMILY HEALTH | H61953 | 01 |
| KY | FEDERAL BLACK LUNG | 023379600 | 01 |
| KY | CIGNA | 611277847 | 01 |
| KY | 64062292 | 05 | |
| KY | RAILROAD MEDICARE | 830008709 | 01 |
| KY | BCBS TROVER | 000000769615 | 01 |
| KY | HUMANA | 611277847C | 01 |
| KY | ANTHEM BC/BS | 000000290035 | 01 |
| KY | CHA | 611277847 | 01 |
| KY | AETNA | 7525437 | 01 |
| KY | RR MEDICARE TROVER | P01079962 | 01 |
| KY | COVENTRYCARES OF KENTUCKY | 87105 | 01 |
| Street Address |
1 TRILLIUM WAY STE 302 |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538204 | Kimberly Thompson | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-08-12 |
| 1780293027 | Christina Ann North-woods | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-22 |
| 1366050395 | Allison Elizabeth Lebron | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-15 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1417583659 | Regina Upchurch | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-19 |
| 1396371795 | Kristin Cox | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-17 |
| 1972137701 | Cassandra Petrey | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1215561055 | Amanda Alred Elza | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1518591486 | Amanda Rose Monin | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023243144 | Swati Yalamanchi | Internal Medicine | 1 Trillium Way, Baptist Health Cancer Center, Corbin, KY 40701-8727 | 2009-05-19 |
| 1124281167 | Tyrus Michael White Jr. | Internal Medicine | 1 Trillium Way, Baptist Health Cancer Center, Corbin, KY 40701-8727 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576523 | Rafiq U Rahman Md Psc | Internal Medicine | 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 | 2017-02-07 |
| 1659823573 | Covenant Oncology & Hematology LLC | Internal Medicine | 93 C. Michael Davenport Blvd, Suite 2, Frankfort, KY 40601-9702 | 2016-10-26 |
| 1184018285 | James Mobley | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 | 2015-03-26 |
| 1770837270 | Chaitanya Iragavarapu | Internal Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 | 2012-11-05 |
| 1285999284 | Surabhi Pathak | Internal Medicine | 613 23rd St Ste 19, Ashland, KY 41101-2878 | 2012-07-06 |
| 1427316900 | Ryan Woods | Internal Medicine | University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 | 2012-05-02 |
| 1730447814 | Natalie W. Harper | Internal Medicine | 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 | 2012-04-26 |
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1477743938 | Suzanne Jeannette Brown | Internal Medicine | 102 Physicians Blvd, Glasgow, KY 42141-1299 | 2007-07-30 |
| 1417082470 | Jamie Bunch Jarboe | Internal Medicine | 1100 Brookhaven Rd Ste 103, Franklin, KY 42134-2746 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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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.