DR. MARK A MITCHELL (NPI# 1265552756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265552756 |
| Entity Type | Individual |
| Full Name | DR. MARK A MITCHELL |
| Credential | D.O. |
| Practice Address |
2150 Gettler St Ste 400 Dyer IN 46311 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2198655795 |
| Practice Fax Number | 2198655794 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02003221A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036.108244 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
02003221A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036-108244 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200911930 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2150 Gettler St Ste 400, Dyer, IN 46311 | 2198655795 | 2198655794 |
| 3800 W 203rd St Ste 201, Olympia Fields, IL 604611185 | 7086367575 | 7086365797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336552462 | Mark Mitchell | Counselor | 119 E Center St Ste B6, Warsaw, IN 46580-2849 | 2014-06-05 |
| 1720267917 | Mark Mitchell | Counselor | 2945 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2007-10-24 |
| 1013107499 | Mark Anthony Mitchell | Military Health Care Provider | 1140 Kellum Loop Rd, #36, Jacksonville, NC 28546-3321 | 2007-07-31 |
| 1972729937 | Mark R Mitchell | Radiology | 2001 N. Solar Dr., Suite 135, Oxnard, CA 93036 | 2007-04-18 |
| 1194881177 | Mark T Mitchell | Dentist | 10 Orchard St, Walden, NY 12586-1802 | 2006-12-28 |
| 1679675185 | Mark Archer Mitchell | Dentist | 1941 S Ohio St, Salina, KS 67401-6602 | 2006-09-04 |
| 1003833633 | Mark Anthony Mitchell | Emergency Medicine | 6800 Broken Sound Pkwy Nw, Ste 150a, Boca Raton, FL 33487-5709 | 2006-07-17 |
| 1053364307 | Mark Anthony Mitchell | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-05-18 |
| 1689634479 | Mark Edward Mitchell | Family Medicine | 2960 Tongass Avenue, Ketchikan, AK 99901-5742 | 2006-03-24 |
| 1225009020 | Mark Mitchell | Obstetrics & Gynecology | 110 Irving St Nw Rm 5b-18, Dept. of Ob/gyn, Washington, DC 20010-3017 | 2006-01-30 |
| Street Address |
2150 GETTLER ST STE 400 |
| City | DYER |
| State | IN |
| Zip Code | 46311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073366 | Mateo Guanzon | Surgery | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-06-17 |
| 1902447311 | Alyssa Marie Borkowski | Nurse Practitioner | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2019-10-07 |
| 1497822480 | Ioannis Dimitrios Xenidis | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311 | 2006-11-29 |
| 1083699193 | C Richard Smith | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-12 |
| 1598740748 | Michael A Nicholas | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-09 |
| 1124002738 | Stephanie D Marshall | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-06 |
| 1598746083 | John D Andress | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497704514 | Cardiospecialists Group, Ltd | Internal Medicine | 2150 Gettler St, Suite 122, Dyer, IN 46311-2380 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| 1013111368 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 1451 N Gardner St # 31, Scottsburg, IN 47170-7751 | 2007-06-12 |
| 1689883811 | Medical Center Cardiologists, Psc | Internal Medicine | 1451 N Gardner Hwy 31, Scottsburg, IN 47170 | 2007-05-22 |
| 1518176486 | Medical Center Cardiologists, Psc | Internal Medicine | 213 Hunter Station Rd, Sellersburg, IN 47172-1879 | 2007-05-21 |
| 1841372869 | Fei Lu | Internal Medicine | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2006-10-19 |
| 1194700500 | Leonard Alan Steinberg | Internal Medicine | 8333 Naab Rd Ste 320, Indianapolis, IN 46260-1983 | 2005-12-08 |
| 1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
| 1053316869 | Umang M Patel | Internal Medicine | 901 Saint Marys Dr, Ste 300, Evansville, IN 47714-0520 | 2005-06-17 |
| 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.