Edmund M Mitchell (NPI# 1164422127, PAC ID# 3274559877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1164422127 |
| PAC ID by PECOS | 3274559877 |
| Professional Enrollment ID | I20100917000462 |
| Full Name | Edmund M Mitchell |
| Organization Legal Name | OASIS MEDICAL GROUP, LLC |
| Address |
2035 Mesquite Ave C Lake Havasu City AZ 86403-5894 |
| Phone Number | 9284531101 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1557486297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031317 | LA PAZ REGIONAL HOSPITAL |
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| 030068 | MT. GRAHAM REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2035 Mesquite Ave C, Lake Havasu City, AZ 86403-5894 | 9284531101 | OASIS MEDICAL GROUP, LLC |
| Organization Legal Name | OASIS MEDICAL GROUP, LLC |
| Physicians | 1 |
| Street Address |
2035 MESQUITE AVE C |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5894 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LAKE HAVASU CITY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Edmund M 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.