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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901001869 | MI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3507405 | 05 | |
MOLINA | 3507405 | 01 | |
MI | BCBSM | KM001869 | 01 |
Other Name | Type Code |
---|---|
Kenneth Mitchell | Doing Business As Name - Organization |
Street Address |
3800 WOODWARD AVE STE 812 |
City | DETROIT |
State | MI |
Zip Code | 48201-2061 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 48201 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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 |
Find all providers in DETROIT |
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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.