Matthew Lee Mitchell (NPI# 1104125657, PAC ID# 5698907525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1104125657 |
| PAC ID by PECOS | 5698907525 |
| Professional Enrollment ID | I20160510002105 |
| Full Name | Matthew Lee Mitchell |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
2001 W 86th St Indianapolis IN 46260-1902 |
| Phone Number | 3173382345 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| 150024 | ESKENAZI HEALTH |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 150072 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2001 W 86th St, Indianapolis, IN 46260-1902 | 3173382345 | ST VINCENT MEDICAL GROUP INC |
| 8402 Harcourt Rd, Indianapolis, IN 46260-2056 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Street Address |
2001 W 86TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46260-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Edward Paul Mintz | Pulmonary Disease | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Vijay Krishna Nuthakki | Thoracic Surgery | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Lisa Kathleen Sims | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| David E Crook | Anesthesiology | Northside Anesthesia Services, LLC | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Peter Cushman Houck | Anesthesiology | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Brandon Keith Martinez | Interventional Radiology | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Michelle Lee Bailey | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Davina Cameron Ananias | Physician Assistant | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| John J Anagnostou Jr. | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Jo Johnson | Chiropractic | 1305 W 96th St C, Indianapolis, IN 46260-1139 | |
| Becky J Sayre | Clinical Social Worker | 1311 W 96th St, Suite 105, Indianapolis, IN 46260-1173 | |
| Lisa A Miller | Family Medicine | 1329 W 96th St, Suite 1, Indianapolis, IN 46260-1190 | |
| Daniel G Williams | Osteopathic Manipulative Medicine | Excell for Life Family Care and Pediatrics Inc | 1329 W 96th St, Indianapolis, IN 46260-1190 |
| Wendy J Rich | Anesthesiology | Ophthalmic Anesthesia Associates, LLC | 9202 N Meridian St, Indianapolis, IN 46260-1800 |
| Amy S Delumpa | Anesthesiology | Ophthalmic Anesthesia Associates, LLC | 9202 N Meridian St, Indianapolis, IN 46260-1800 |
| Mary Louise Sanders | Clinical Psychologist | 9102 N Meridian St, Indianapolis, IN 46260-1809 | |
| Sarah A Huseman | Optometry | Eye Surgeons of Indiana, PC | 9202 N Meridian St, Suite 100, Indianapolis, IN 46260-1810 |
| Paul F Cacchillo | Ophthalmology | Eye Surgeons of Indiana, PC | 9202 N Meridian St, Suite 100, Indianapolis, IN 46260-1810 |
| Moazzam W Habib | Endocrinology | Moazzam Habib Md PC | 9240 N Meridian St, Suite 120, Indianapolis, IN 46260-1811 |
| Find all physicians in zip 46260 | |||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | INDIANAPOLIS + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Matthew Lee 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.