CORY MITCHELL


Address: 1111 S 2nd Ave, Walla Walla, WA 99362
Phone: 5098973700

CORY MITCHELL (NPI# 1275943060) 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) 1275943060
Entity Type Individual
Full Name CORY MITCHELL
Practice Address 1111 S 2nd Ave
Walla Walla
WA 99362
Mailing Address Po Box 32
Liberty Lake
WA 99019-0032
Practice Telephone 5098973700
Enumeration Date 2014-05-01
Last Update Date 2018-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
MD60878010 WA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
WA 2106443 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
11234 Anderson St, Loma Linda, CA 923542804 9095586688

Other Providers CORY MITCHELL

NPI Name Taxonomy Address Enumeration
1134598519 Cory Mitchell Behavioral Analyst 51 Water St Ste 200, Watertown, MA 02472-4611 2015-09-16
1558750513 Cory Mitchell Social Worker 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 2015-01-14
1518229913 Cory Marie Mitchell Internal Medicine 701 Grove Rd Fl 5, Greenville, SC 29605 2012-06-12

Office Location

Street Address 1111 S 2ND AVE
City WALLA WALLA
State WA
Zip Code 99362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982609533 David P Woolever Internal Medicine 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2005-06-20
1861034605 Stephanie J Hayes Registered Nurse 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2019-10-14
1861994675 Jaime Lynn Fazzone Pharmacist 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2018-03-07
1114378684 Mary Buriani Nurse Practitioner 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2016-06-27
1013284678 Trudee Kaye Nims Dietitian, Registered 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2011-11-28
1598032740 Carmelle R Boyd Social Worker 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2011-11-16
1013299965 Walla Walla General Hospital Pharmacy 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2011-09-16
1780972562 Walla Walla General Hospital Clinic/Center 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2011-07-14
1467743500 Kristin Marie Satterfield Pediatrics 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2011-04-24
1700182797 Leigh Alison Moore Pharmacist 1111 S 2nd Ave, Walla Walla, WA 99362-4118 2011-02-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164065959 Kevin Gia-minh Phan Optometrist Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 2019-10-24
1659836401 Arlene Lavonne Whitney Social Worker 1361 Dalles Military Road, Walla Walla, WA 99362 2019-02-06
1053880674 Julie Ann Cooke Speech-Language Pathologist Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 2018-11-14
1558887133 Chantey Walker Massage Therapist 1840 Pleasant St, Walla Walla, WA 99362 2017-08-16
1447798723 Carrie S Diede Speech-Language Pathologist 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 2017-02-07
1235584103 Anchor Point Counseling Pllc Clinic/Center 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 2016-04-28
1548627011 Washington State Walla Walla Veterans Home Skilled Nursing Facility 92 Wainwright Drive, Walla Walla, WA 99362 2016-01-28
1073926200 Sherry Goff Registered Nurse 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 2014-06-05
1538597935 Michael Wade Gillespie Orthopaedic Surgery 101 Brookside Drive, Walla Walla, WA 99362 2013-10-22
1023357985 Sandra Kay Bushnell Speech-Language Pathologist 1105 Isaacs Ave, Walla Walla, WA 99362 2013-02-12
Find all providers in zip 99362

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326565110 Family Care Network, Pllc Family Medicine 3130 Squalicum Pkwy Ste 110, Bellingham, WA 98225-1940 2017-08-23
1578682100 Robert Stewart Nicol Family Medicine 23512 Ne 206th St, Battle Ground, WA 98604-9699 2007-03-28
1912033663 Richard Terril Jacobs Family Medicine 1351 Fowler St, Richland, WA 99352-4714 2007-02-26
1821132481 James E Hult Family Medicine 800 N 5th Ave # 101, Sequim, WA 98382-3045 2007-02-16
1598874430 Patrick Z Pearce Family Medicine 730 N Hamilton St, Spokane, WA 99202-2045 2006-08-30
1265450514 Lawrence J Greenblatt X Family Medicine 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 2006-07-17
1649211764 Mark David Wagner Family Medicine 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 2006-06-09
1528015229 Public Hospital District #1 of King County Family Medicine 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 2006-05-28
1063486074 Warren Billings Howe Family Medicine 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225-5946 2006-02-15
1588280804 Rainier Family and Sports Medicine P C Family Medicine 16202 64th St E Ste 104, Sumner, WA 98390-3028 2020-06-23
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Competitor

Search similar providers

City WALLA WALLA
Zip Code 99362

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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.

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