CORY MITCHELL (NPI# 1275943060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2106443 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
11234 Anderson St, Loma Linda, CA 923542804 | 9095586688 |
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 |
Street Address |
1111 S 2ND AVE |
City | WALLA WALLA |
State | WA |
Zip Code | 99362 |
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 |
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 Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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 |
Find all providers with the same taxonomy |
City | WALLA WALLA |
Zip Code | 99362 |
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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.