MICHAEL SHANE MITCHELL


Address: 5371 Washington St, Camp Lejeune, NC 28547-1104
Phone: 8436402075

MICHAEL SHANE MITCHELL (NPI# 1194168807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194168807
Entity Type Individual
Full Name MICHAEL SHANE MITCHELL
Credential IDC
Practice Address 5371 Washington St
Camp Lejeune
NC 28547-1104
Practice Telephone 8436402075
Mailing Telephone 8436402075
Enumeration Date 2013-04-11
Last Update Date 2013-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MICHAEL MITCHELL

NPI Name Taxonomy Address Enumeration
1225506652 Michael Todd Mitchell Non-emergency Medical Transport (VAN) 417 Dunvegan Ct, Lafayette, LA 70503-6089 2018-11-03
1447727227 Michael Ben Mitchell Counselor 6071 E Woodmen Rd Ste 320, Colorado Springs, CO 80923-2612 2018-10-30
1942686035 Michael Mitchell Nurse Practitioner 4200 Willow Bend Ln, Port Arthur, TX 77642-7231 2015-07-31
1225440910 Michael Mitchell Pediatrics 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 2014-05-29
1538592902 Michael Spencer Mitchell Dentist 1001 Shadow Ln # Ms 7415, Las Vegas, NV 89106-4124 2013-08-20
1760699037 Michael S Mitchell Social Worker 109 W 27th St Ste 8a, New York, NY 10001 2007-05-17
1891852059 Michael Rickey Mitchell Counselor 699 Piedmont Ave Ne Ste B2, Atlanta, GA 30308-1400 2007-01-03
1538234315 Michael A. Mitchell Chiropractor 5313 Arctic Blvd, Suite 101, Anchorage, AK 99518-1111 2006-11-21
1871605980 Michael Scott Mitchell Chiropractor 9188 E San Salvador Dr Ste 201, Scottsdale, AZ 85258-5534 2006-08-31
1104893106 Michael Calvin Mitchell Social Worker 11501 Financial Centre Pkwy, Little Rock, AR 72211-3715 2006-03-08

Office Location

Street Address 5371 WASHINGTON ST
City CAMP LEJEUNE
State NC
Zip Code 28547-1104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558906032 Abigail Deemer Physician Assistant L Street, Bldg Hp-416, Camp Lejeune, NC 28547 2019-11-08
1407406267 Michelle Ferricher Nurse Practitioner Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 2019-09-13
1215595566 Kayla L Torrez Chang General Practice Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 2019-06-02
1699338442 Amanda Leigh Jepsen Military Health Care Provider Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 2019-04-17
1306336995 Erik Reid King Physician Assistant F Street Bldg. Hp206, Camp Lejeune, NC 28547 2018-05-18
1114434032 David John Mcdermott Specialist/Technologist Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 2017-12-30
1235678434 Nicolle Elizabeth Johnson Occupational Therapist 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 2017-02-21
1427435585 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 2015-04-28
1043634173 Garrett Michael Wren Obstetrics & Gynecology Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 2014-02-10
1245662436 Samuel Maluil Internal Medicine Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 2013-07-30
Find all providers in zip 28547

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144820002 Levi Para Military Health Care Provider 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 2020-10-29
1699306670 Dominick Ciampo Military Health Care Provider A66 Boat Basin Road, Camp Lejeune, NC 28542 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1881243525 Alexander Thomas Rodgers Military Health Care Provider 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 2019-09-05
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1578032504 Brendon Earl Dumas Military Health Care Provider Rr612 Everett Creek Road, Camp Lejeune, NC 28542 2018-11-20
1053896514 Roy Atallah Military Health Care Provider 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 2018-10-01
1760967509 Sergeous Evgeney Anikin-dick Military Health Care Provider 2d Marine Raider Battalion Psc 20183, Camp Lejeune, NC 28542 2018-09-27
1295212199 Ryan Loseke Military Health Care Provider 3d Mrb, Camp Lejeune, NC 28460 2018-07-24
Find all providers in CAMP LEJEUNE

Competitor

Search similar providers

City CAMP LEJEUNE
Zip Code 28547

Improve Information

Please comment or provide details below to improve the information on MICHAEL SHANE MITCHELL.

Dataset Information

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.

Trending Searches