JARED D MITCHELL (NPI# 1760864987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760864987 |
| Entity Type | Individual |
| Full Name | JARED D MITCHELL |
| Credential | MD |
| Practice Address |
14020 Old State Rd Ste 100 Evansville IN 47725-1121 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 8124694765 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01077168A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11018503A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770711343 | Jared Wyman Mitchell | Surgery | 2500 University Dr, Thomson, GA 30824-0040 | 2009-06-23 |
| 1760914162 | Jared Mitchell | Student in an Organized Health Care Education/Training Program | University of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2017-04-03 |
| 1093742009 | Jared Rex Mitchell | Anesthesiology | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-06-26 |
| Street Address |
14020 OLD STATE RD STE 100 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47725-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
| 1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
| 1720112071 | Roger Lee Tindle | Pharmacist | 12500 N Hwy 41, Evansville, IN 47725 | 2007-03-16 |
| 1750413670 | Elizabeth Marilyn Hobbs | Physical Therapy Assistant | 8700a N. Kentucky Ave, Evansville North -phr, Evansville, IN 47725 | 2007-03-09 |
| 1134215841 | Cindy K Mcwilliams | Speech-Language Pathologist | 15601 Darmstadt Road, Evansville, IN 47725 | 2006-10-04 |
| 1891735171 | Brian Becker | Anesthesiology | 13000 Woodland Ln, Evansville, IN 47725 | 2006-06-07 |
| 1003311309 | Megan E Tate | Nurse Practitioner | 8600 N Kentucky Ave, Evansville, IN 47725 | 2018-03-28 |
| 1316497811 | St. Mary's Medical Center of Evansville | Pharmacy | 14020 Old State Rd, Evansville, IN 47725 | 2016-10-07 |
| 1730560376 | Megan J York | Pediatrics | 14020 Old State Rd # 300, Evansville, IN 47725 | 2015-06-09 |
| Find all providers in zip 47725 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1598252652 | Herbert Dan Adams | Family Medicine | 501 Wyndclyff Dr, Evansville, IN 47711-2789 | 2018-04-15 |
| 1326568775 | Midwest Scope LLC | Family Medicine | 1401 Professional Blvd Ste 100, Evansville, IN 47714-8011 | 2017-06-26 |
| 1609303015 | Kyle Lemond | Family Medicine | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2017-05-16 |
| 1871944041 | Anne Alexis | Family Medicine | 3801 Bellemeade Ave Ste 200b, Evansville, IN 47714-0114 | 2016-06-28 |
| 1396126710 | Lynniece A Kocher | Family Medicine | 8600 N Kentucky Avenue, Evansville, IN 47722 | 2015-06-11 |
| 1205194677 | Sanders Medical, LLC | Family Medicine | 2516 Washington Ave, Evansville, IN 47714-2404 | 2012-04-24 |
| 1194090308 | Kenneth E Yagodich, Md, PC | Family Medicine | 1200 Heinlein Rd, Evansville, IN 47725-6379 | 2012-03-21 |
| 1134499320 | Vivien Tucker, Md, LLC | Family Medicine | 13330 Darmstadt Rd, Evansville, IN 47725-9593 | 2012-01-05 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47725 |
Please comment or provide details below to improve the information on JARED D MITCHELL.
| 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.