DR. AMBER MICHELE MITTENDORF (NPI# 1285048769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285048769 |
| Entity Type | Individual |
| Full Name | DR. AMBER MICHELE MITTENDORF |
| Credential | M.D. |
| Practice Address |
1025 Medical Center Dr Wilmington NC 28401-7354 |
| Practice Telephone | 9107623882 |
| Mailing Telephone | 9107623882 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2019-01649 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1025 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872282 | John Alexander Black | Radiology | 1025 Medical Center Dr, Delaney Radiologists Group, Pllc, Wilmington, NC 28401 | 2005-06-28 |
| 1629638457 | John Hammond Geis Iv | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2019-06-14 |
| 1447719844 | Joshua Daniel Felix | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2019-03-15 |
| 1861980633 | Cameron K Holman | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2018-04-27 |
| 1457859431 | Alyse Jenna Moses-lebron | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2018-01-25 |
| 1326486374 | Raymond Groller | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2013-06-12 |
| 1255606364 | Tiffany Matoska Sills | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401 | 2012-03-22 |
| 1013200203 | Aaron D Kline | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2011-05-19 |
| 1659661841 | Menaka M Nadar | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2011-04-09 |
| 1972828267 | John B. Crudup IIi | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326305566 | Airlie Radiology Pa | Radiology | 1318 Airlie Rd, Wilmington, NC 28403-3727 | 2012-04-12 |
| 1871865956 | Telerad of De Account Managment, LLC | Radiology | 340 S. Madison St #706, Wilmington, DE 19801-0000 | 2012-02-03 |
| 1326363136 | Kerner Radiology Associates, Pa | Radiology | 430 Eastwood Rd, Suite 200, Wilmington, NC 28403-1870 | 2010-04-05 |
| 1205165214 | George William Eason Md | Radiology | 1312 Airlie Rd, Unit 2, Wilmington, NC 28403-3727 | 2009-12-22 |
| 1306073341 | Cyril Milunsky | Radiology | 607 Haverhill Rd, Wilmington, DE 19803-2402 | 2009-06-17 |
| 1609970912 | Claire Coggins | Radiology | 2506 Delaware Ave, Wilmington, DE 19806-1220 | 2006-09-08 |
| 1861423675 | Steven A Ebner | Radiology | 12 Camp David Rd, Wilmington, DE 19810-3260 | 2006-07-06 |
| 1194778217 | Intelligent Imaging Resources LLC | Radiology | 1661 Rombach Ave, Wilmington, OH 45177-1965 | 2006-05-18 |
| 1720045214 | Brandywine Imaging Enterprises LLC | Radiology | 3206 Concord Pike, Wilmington, DE 19803-5015 | 2006-04-27 |
| 1942260088 | Mark Garcia | Radiology | 701 N. Clayton St, Medical Office Building Suite 401, Wilmington, DE 19805 | 2006-03-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on DR. AMBER MICHELE MITTENDORF.
| 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.