Michael A Mitchell (NPI# 1770561904, PAC ID# 1951355114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770561904 |
| PAC ID by PECOS | 1951355114 |
| Professional Enrollment ID | I20050310000211 |
| Full Name | Michael A Mitchell |
| Address |
100 S Archer St Henrietta TX 76365-2746 |
| Gender | M |
| Credential | MD |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451362 | CLAY COUNTY MEMORIAL HOSPITAL |
| 450010 | UNITED REGIONAL HEALTH CARE SYSTEM |
| 450241 | FAITH COMMUNITY HOSPITAL |
| 450827 | KELL WEST REGIONAL HOSPITAL |
| 450641 | NOCONA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 S Archer St, Henrietta, TX 76365-2746 | ||
| 3701 Fairway Blvd, Suite 114, Wichita Falls, TX 76310-1038 | 3257019270 | WICHITA MEDICAL MANAGEMENT, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
100 S ARCHER ST |
| City | HENRIETTA |
| State | TX |
| Zip | 76365-2746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Sergio E Venegas | Physician Assistant | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Thomas David Greer | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Timothy R Tappana | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Matthew David Lewis | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| James Allen Clark | Emergency Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Eric Lee Madarang | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Crhistian Noemi Guerrero | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Wyman O Gilmore Iii | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Melissa Renne Nelson | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Find all physicians in zip 76365 | |||
| City | HENRIETTA |
| Zip Code | 76365 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HENRIETTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael A Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.