BOBBY MITCHELL (NPI# 1215212543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215212543 |
Entity Type | Individual |
Full Name | BOBBY MITCHELL |
Other Name | BJ MITCHELL |
Credential | M.SC. |
Practice Address |
9228 Vollmerhausen Rd Jessup MD 20794-9518 |
Mailing Address |
Po Box 507 Savage MD 20763-0507 |
Practice Telephone | 2404222123 |
Mailing Telephone | 2404222123 |
Enumeration Date | 2011-10-18 |
Last Update Date | 2011-10-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750741773 | Bobby Mitchell | Case Manager/Care Coordinator | 555 Technology Ct, Riverside, CA 92507-2155 | 2016-03-03 |
Street Address |
9228 VOLLMERHAUSEN RD |
City | JESSUP |
State | MD |
Zip Code | 20794-9518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801399373 | Marnette Valcin | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-03-12 |
1629508478 | Maryland Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 7650 Port Capital Drive, Jessup, MD 20794 | 2017-06-14 |
1326446980 | Matthew Carpenter | Physician Assistant | 7805 House of Correction Rd., Jessup, MD 20794 | 2014-12-15 |
1053753616 | Bollman Bridge Elementary School-based Wellness Center | Clinic/Center | 8200 Savage-guilford Road, Jessup, MD 20794 | 2013-07-24 |
1962760199 | Mesfin T Frew | Physician Assistant | 755 Waterloo Road, Jessup, MD 20794 | 2012-04-25 |
1730462920 | Grady Foster Jr. | Dentist | 7804 Maryland House of Correction Road, Jessup, MD 20794 | 2011-09-23 |
1528211794 | Brian Byung Woo Choi | Dentist | 7800 House of Correction Road, Jessup, MD 20794 | 2008-10-31 |
1659315851 | Family Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8610 Baltimore Washington Blvd, Suite 110, Jessup, MD 20794 | 2006-06-16 |
1568941797 | Motunrayo Omoloye Adegorusi | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-08-08 |
1104346006 | Charity Allwell | Registered Nurse | 7365 Cedar Ave, Jessup, MD 20794 | 2017-06-21 |
Find all providers in zip 20794 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780114405 | Monique La Shon Williams | Specialist/Technologist, Other | 1221 Mercantile Ln Ste 203, Upper Marlboro, MD 20774-5374 | 2017-06-14 |
1104362839 | Michelle Phebus | Specialist/Technologist, Other | 1812 Lorgnette Ct, Severn, MD 21144-1635 | 2017-01-19 |
1407391311 | Christopher Hartman | Specialist/Technologist, Other | 2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408 | 2016-12-31 |
1033588496 | Linda Odum | Specialist/Technologist, Other | 7779 Kidwell Dr, Hanover, MD 21076-1635 | 2015-09-16 |
1497162853 | Hema Kaur Sidhu | Specialist/Technologist, Other | 5216 Lynngate Rd, Columbia, MD 21044-1435 | 2014-07-17 |
1891054045 | Richard Hess | Specialist/Technologist, Other | 53 Ridge Rd Unit K, Greenbelt, MD 20770-7711 | 2012-05-09 |
1205193885 | Devole Thompson | Specialist/Technologist, Other | 1811 Glendora Dr, District Heights, MD 20747-1880 | 2012-04-19 |
1518256312 | Complete Mobile Diagnostics LLC | Specialist/Technologist, Other | 3309 Deer Hill Rd, Street, MD 21154 | 2011-04-01 |
1275604381 | Mary Y. Duan | Specialist/Technologist, Other | 1221 Maple Grove Ln, Rockville, MD 20850-6692 | 2006-11-11 |
1912004268 | William Charles Tessendorf | Specialist/Technologist, Other | 450 Streaker Road, Sykesville, MD 21784-8654 | 2006-09-20 |
Find all providers with the same taxonomy |
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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.