DR. KENNETH DERNELL MITCHELL (NPI# 1144390873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144390873 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DERNELL MITCHELL |
| Credential | DPM |
| Practice Address |
23999 Northwestern Hwy Suite 220a Southfield MI 48075-2578 |
| Practice Telephone | 2489966465 |
| Practice Fax Number | 2489966469 |
| Mailing Telephone | 2489966465 |
| Mailing Fax Number | 2489966469 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001869 | MI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841677507 | Kenneth Mitchell II | Psychologist | 1174 Wisconsin St, Pomona, CA 91768-3033 | 2015-05-01 |
| 1457771255 | Kenneth Mitchell | Case Manager/Care Coordinator | 6588 Wandermere Dr, San Diego, CA 92120-3217 | 2014-04-18 |
| 1376974584 | Kenneth Mitchell | Case Manager/Care Coordinator | 517 Todd St, Durham, NC 27704-1823 | 2013-12-13 |
| 1467514927 | Kenneth Wayne Mitchell | Occupational Therapist | 3475 Brent Dr, Birmingham, AL 35243-1607 | 2006-12-14 |
| 1225048614 | Kenneth Wayne Mitchell | Chiropractor | 2825 Columbine Pl, Nashville, TN 37204-3103 | 2006-08-08 |
| 1548287014 | Kenneth J Mitchell | Podiatrist | 464 West 145th Street, New York, NY 10031 | 2006-07-17 |
| 1578522330 | Kenneth W. Mitchell | Internal Medicine | 6101 Balcones Dr, Suite #300, Austin, TX 78731-4231 | 2006-03-21 |
| 1477542850 | Kenneth Paul Mitchell | Obstetrics & Gynecology | 910 Royce St, Pensacola, FL 32503-2464 | 2005-10-18 |
| 1659739134 | Kenneth Mitchell | Specialist | 37 South St, Marcellus, NY 13108-1359 | 2016-01-29 |
| 1992009435 | Kenneth B Mitchell | Naturopath | 4921 E Bell Rd, Suite 203, Scottsdale, AZ 85254-6002 | 2010-12-24 |
| Street Address |
23999 NORTHWESTERN HWY SUITE 220A |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336191584 | Quality Foot & Ankle Clinic | Durable Medical Equipment & Medical Supplies | 23999 Northwestern Hwy, Suite 220, Southfield, MI 48075-2578 | 2006-05-16 |
| 1255786661 | Southfield Rehab Center Inc | Clinic/Center | 23999 Northwestern Hwy, Suite 161, Southfield, MI 48075-2578 | 2016-05-04 |
| 1629449152 | Urban Health Care Group Pllc | Podiatrist | 23999 Northwestern Hwy, Ste 220, Southfield, MI 48075-2578 | 2015-10-09 |
| 1790161313 | Shazia Malik | Podiatrist | 23999 Northwestern Hwy, Suite 220, Southfield, MI 48075 | 2015-08-05 |
| 1144647686 | Benevolent Health Care Clinic | Specialist | 23999 Northwestern Hwy, Ste 114, Southfield, MI 48075-2578 | 2014-03-22 |
| 1295173094 | Rachel Kimberly Stabel | Registered Nurse | 23999 Northwestern Hwy, Southfield, MI 48075-2578 | 2013-06-13 |
| 1003181363 | Ark Health LLC | General Practice | 23999 Northwestern Hwy, Southfield, MI 48075-2578 | 2012-03-19 |
| 1003192568 | Ashtiaq Khokhar | Physical Therapist | 23999 Northwestern Hwy, Southfield, MI 48075-2578 | 2011-10-28 |
| 1447536909 | Southfield Rehabilitation Center Inc | Clinic/Center | 23999 Northwestern Hwy, Southfield, MI 48075-2578 | 2011-10-28 |
| 1326327230 | Northwestern Rehabilitation Services. LLC | Clinic/Center | 23999 Northwestern Hwy, Suite 105, Southfield, MI 48075-2578 | 2011-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841470291 | Neil F Hertzberg Dpm | Podiatrist | 17288 W 12 Mile Rd, Southfield, MI 48076-2138 | 2007-11-13 |
| 1144333006 | Leonard Yourofsky | Podiatrist | 25811 West 12 Mile Road, Ste 205, Southfield, MI 48034 | 2006-08-16 |
| 1336179506 | Barry Bean | Podiatrist | 21721 W 11 Mile Rd, Southfield, MI 48076-3717 | 2006-07-04 |
| 1104865476 | Jason Bernard James Kurek | Podiatrist | 17515 West 9 Mile Rd, Suite 340, Southfield, MI 48075 | 2006-06-05 |
| 1538720958 | Zef Markaj | Podiatrist | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2019-06-26 |
| 1730749961 | Krista Kotzeva | Podiatrist | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2019-06-19 |
| 1821512930 | Foot & Ankle Institute of Michigan Pllc | Podiatrist | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | 2017-07-31 |
| 1306371588 | Joshua Kazdan | Podiatrist | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 | 2017-04-26 |
| 1629449152 | Urban Health Care Group Pllc | Podiatrist | 23999 Northwestern Hwy, Ste 220, Southfield, MI 48075-2578 | 2015-10-09 |
| 1790161313 | Shazia Malik | Podiatrist | 23999 Northwestern Hwy, Suite 220, Southfield, MI 48075 | 2015-08-05 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on DR. KENNETH DERNELL 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.