David Larry Mitchell (NPI# 1497759757, PAC ID# 2567588445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497759757 |
| PAC ID by PECOS | 2567588445 |
| Professional Enrollment ID | I20100928001503 |
| Full Name | David Larry Mitchell |
| Address |
2310 Country Rd Shiloh IL 62221-2570 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| 140185 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2310 Country Rd, Shiloh, IL 62221-2570 |
| Street Address |
2310 COUNTRY RD |
| City | SHILOH |
| State | IL |
| Zip | 62221-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Hinrichs | Chiropractic | 1820 N Belt E, Belleville, IL 62221-5523 | |
| Dawn M Robinson Murphy | Chiropractic | 115 Lincoln Place Ct, Suite 103, Belleville, IL 62221-5876 | |
| Anne Horton | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Jennifer E Sipula | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Bryan Bengston | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Natalie N Ruebke | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Lisa Alt Elder | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Collin Toennies | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Kerri A Travous | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Robert Blumberg | Physical Therapy | Apex Physical Therapy LLC | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221-5878 |
| Find all physicians in zip 62221 | |||
| City | SHILOH |
| Zip Code | 62221 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHILOH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Larry 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.