JERRY MITCHELL (NPI# 1750339651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750339651 |
| Entity Type | Individual |
| Full Name | JERRY MITCHELL |
| Credential | MD |
| Practice Address |
3100 Plaza Properties Blvd Columbus OH 43219-1530 |
| Mailing Address |
Po Box 117287 Atlanta GA 30368-7287 |
| Practice Telephone | 6143836000 |
| Practice Fax Number | 6143836001 |
| Mailing Telephone | 2392365769 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
35082344 | OH | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
35082344 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNITED HEALTHCARE | 3600950 | 01 |
| OH | 2425763 | 05 | |
| OH | ANTHEM BC/BS | 000000288885 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033305529 | Jerry Dewayne Mitchell | Physical Therapy Assistant | 502 Wendover Ln, Bullard, TX 75757-5175 | 2007-09-19 |
| 1750500484 | Jerry Don Mitchell | Psychologist | Hwy 118 South, High Frontier, Fort Davis, TX 79734 | 2007-04-24 |
| 1932289204 | Jerry Wayne Mitchell | Dentist | 620 First Ave N, Ketchum, ID 83340-0000 | 2006-10-17 |
| 1497721914 | Jerry Mitchell | Anesthesiology | 2927 De La Vina St, Santa Barbara, CA 93105-3362 | 2006-02-24 |
| 1114447109 | Jerry Mitchell Jr. | Counselor | 19157 Crowley Eunice Hwy, Crowley, LA 70526 | 2017-06-21 |
| 1487930525 | Jerry Ray Mitchell | Internal Medicine | 6550 Mapleridge St Ste 201, Houston, TX 77081-4648 | 2011-11-02 |
| 1679674402 | Jerry E Mitchell | Surgery | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-09-26 |
| 1861445652 | Jerry W Mitchell | Radiology | 600 S 3rd St, Gadsden, AL 35901-5304 | 2006-05-19 |
| Street Address |
3100 PLAZA PROPERTIES BLVD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034622 | Luis Vaccarello | Obstetrics & Gynecology | 3100 Plaza Properties Blvd, Columbus, OH 43219-1531 | 2005-06-22 |
| 1962061564 | Sarah Weekly | Nurse Practitioner | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2019-06-07 |
| 1477020907 | American Oncology Partners, P.a. | Internal Medicine | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2018-11-02 |
| 1568879435 | Katherine Anne Alexander | Nurse Practitioner | 3100 Plaza Properties Blvd, Columbus, OH 43219 | 2014-07-12 |
| 1881932291 | Sherry A Beckman | Nurse Practitioner | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2013-01-18 |
| 1790038370 | Integrated Pain Solutions, Inc | Non-Pharmacy Dispensing Site | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2012-10-19 |
| 1467708347 | Brittany Nicole Sweigart | Registered Nurse | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2012-07-30 |
| 1891012738 | Emily Whitman-purves | Internal Medicine | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2010-05-03 |
| 1710143847 | Jorge Arturo Rios-perez | Internal Medicine | 3100 Plaza Properties Blvd, Columbus, OH 43219-1530 | 2008-07-29 |
| 1083883391 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd, Suite 320, Columbus, OH 43219-1531 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430844 | Pdq Transportation Inc | Secured Medical Transport (VAN) | 1640 E 5th Ave, Columbus, OH 43219 | 2020-06-06 |
| 1366066599 | Urban Limousine LLC | Secured Medical Transport (VAN) | 1640 E. 5th Ave, Columbus, OH 43219 | 2020-06-03 |
| 1841757879 | Camille Cook | Nurse Practitioner | 4200 Regent St. Suite 200, Columbus, OH 43219 | 2019-02-26 |
| 1164904595 | Vida Yeboah | Registered Nurse | 2320 Doneen Dr, Columbus, OH 43219 | 2018-09-01 |
| 1407373129 | Chevon Marie Wiseman | Nurse's Aide | 2835 Jared Pl, Columbus, OH 43219 | 2017-08-23 |
| 1952826737 | Hilary Schadle Demostenes | Social Worker | 2780 Airport Dr, Suite 100 - Billing/credentialing Dept., Columbus, OH 43219 | 2017-08-14 |
| 1851833800 | Amanda Yahn | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Road, Bradford School, Columbus, OH 43219 | 2016-11-08 |
| 1215312939 | Taylor Weary | Student in an Organized Health Care Education/Training Program | 2649 Stelzer Rd, Columbus, OH 43219 | 2015-07-23 |
| 1568846715 | Brenton Semplak | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Rd., Columbus, OH 43219 | 2015-07-17 |
| 1811384746 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4142 Seward Street, Suite F105, Columbus, OH 43219 | 2015-04-17 |
| Find all providers in zip 43219 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149826 | David Benjamin | Internal Medicine | 263 S Cassady Ave, Columbus, OH 43209-1721 | 2013-03-28 |
| 1033273040 | Erin Renee Macrae | Internal Medicine | 810 Jasonway Ave Ste A, Columbus, OH 43214-4359 | 2006-12-21 |
| 1871568444 | Joanne M. Jeter | Internal Medicine | 2001 Polaris Pkwy, Columbus, OH 43240-2000 | 2006-02-17 |
| 1619973864 | John P Kuebler | Internal Medicine | 810 Jasonway Ave, Ste A, Columbus, OH 43214-4359 | 2005-06-22 |
| 1932623238 | Sabrina N. Powers | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210 | 2017-07-28 |
| 1386166338 | Adeel Arshad | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-07-12 |
| 1255866679 | Chunjie Li | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-04-24 |
| 1467848010 | Abdul R. Miah | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210 | 2015-04-10 |
| 1659788800 | Vineeth K. Sukrithan | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2014-07-21 |
| 1811303001 | Ashish Manne | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2014-07-08 |
| Find all providers in COLUMBUS | ||||
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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.