MITCHELL HEALTHCARE ASSOCIATES


Address: 3800 Woodward Ave, Ste 812, Detroit, MI 48201-2061
Phone: 3138319269

MITCHELL HEALTHCARE ASSOCIATES (NPI# 1669462602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669462602
Entity Type Organization
Organization Name MITCHELL HEALTHCARE ASSOCIATES
Other Organization Name KENNETH MITCHELL
Practice Address 3800 Woodward Ave
Ste 812
Detroit
MI 48201-2061
Practice Telephone 3138319269
Practice Fax Number 3138319274
Mailing Telephone 3138319269
Mailing Fax Number 3138319274
Enumeration Date 2005-10-21
Last Update Date 2020-08-22
Authorized Official Name MRS. PAMELA H STUART (MANAGER)
Authorized Official Telephone 3138319264
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery 		5901001869 MI Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 3507405 05
MOLINA 3507405 01
MI BCBSM KM001869 01

Other Provider/Organization Names

Other Name Type Code
Kenneth Mitchell Doing Business As Name - Organization

Office Location

Street Address 3800 WOODWARD AVE
STE 812
City DETROIT
State MI
Zip Code 48201-2061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609174366 Wayne Physician Services PC Internal Medicine 3800 Woodward Ave, Suite #1125, Detroit, MI 48201-2061 2011-03-04
1629378294 Tri County Wellness Inc Physical Medicine & Rehabilitation 3800 Woodward Ave, Suite 1100b, Detroit, MI 48201-2061 2010-10-28
1568798908 Gentle Foot Care of Western Ohio Durable Medical Equipment & Medical Supplies 3800 Woodward Ave, Ste 1102, Detroit, MI 48201-2061 2009-10-20
1992954333 Hardik Dinesh Pandya Physical Therapist 3800 Woodward Ave, Suite 920, Detroit, MI 48201-2061 2008-09-10
1205090354 Jackson Health Services Clinic/Center 3800 Woodward Ave, Ste. 418, Detroit, MI 48201-2061 2008-07-17
1720275381 Albert C. Hayes Jr.,md PC Specialist 3800 Woodward Ave, Suite 822, Detroit, MI 48201-2061 2007-09-27
1508073826 Great American Rehabilitation and Physical Therapy Center, Inc. Clinic/Center 3800 Woodward Ave, Suite 510, Detroit, MI 48201-2061 2007-05-17
1265556161 Therapeutic Encounters PC Psychiatry & Neurology 3800 Woodward Ave, Suite 202, Detroit, MI 48201-2061 2007-03-17
1215015680 Mary L Jackson-hammond Family Medicine 3800 Woodward Ave, Ste 418, Detroit, MI 48201-2061 2006-11-01
1265548903 Xavier White Psychiatry & Neurology 3800 Woodward Ave, Suite 202, Detroit, MI 48201-2061 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992155576 Chinenye Ezike Podiatrist 22201 Moross Rd Ste 250, Detroit, MI 48236-2175 2016-06-15
1700048931 Melissa Laura Allen Podiatrist 3430 E Jefferson Ave, 523, Detroit, MI 48207-4233 2008-06-29
1942491857 Michigan Foot Surgeons, P.C. Podiatrist 12720 W 7 Mile Rd, Detroit, MI 48235-1301 2007-08-06
1649329590 Stuart E Kirschenbaum Podiatrist 8319 Grand River Ave, Detroit, MI 48204-2231 2007-01-09
1639255946 Stuart Edward Kirschenbaum Podiatrist 3031 W Grand Blvd Ste 423, Detroit, MI 48202-3141 2006-10-29
1679667620 Cohen Podiatry PC Podiatrist 7633 E Jefferson, Suite 250, Detroit, MI 48214 2006-10-03
1134212889 Herbert Bircoll Podiatrist 7633 E. Jefferson, Suite 250, Detroit, MI 48214 2006-10-02
1801905518 Philip Edward Holmes Podiatrist 4646 John R. St, John Dingell Va Medical Center, Dept. of Surgery, Detroit, MI 48201 2006-08-29
1487678686 Christopher Michael Fallu Podiatrist 6795 W Vernor Hwy, Detroit, MI 48209-1551 2006-07-27
1457385841 Larry Weiss Dpm PC Podiatrist 17421 Greenfield, Detroit, MI 48235 2006-07-10
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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