MS. JUDITH A MITCHELL (NPI# 1316188006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316188006 |
Entity Type | Individual |
Full Name | MS. JUDITH A MITCHELL |
Credential | PA-C |
Practice Address |
4999 Skyline Rd. S. Salem OR 97306 |
Practice Telephone | 5033714647 |
Practice Fax Number | 5034858405 |
Mailing Telephone | 5033714647 |
Mailing Fax Number | 5034858405 |
Enumeration Date | 2009-03-10 |
Last Update Date | 2011-11-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01450 | OR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447760772 | Judith Mitchell | Social Worker | 804 N Rose Ave, Kissimmee, FL 34741-4944 | 2017-09-29 |
1952593709 | Judith Marie Mitchell | Home Health Aide | 65 Community Road, Pioneer Physicians Netword, Tallmadge, OH 44278 | 2007-08-15 |
1720135221 | Judith Anne Mitchell | Social Worker | 603 W 14th St, Austin, TX 78701-1725 | 2007-01-05 |
1548746019 | Judith Anne Mitchell | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4231 | 2018-07-17 |
1154708949 | Judith Mitchell | Licensed Practical Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2015-04-30 |
1114129020 | Judith Eileen Mitchell | Registered Nurse | 5467 Cedar Village Dr, Mason, OH 45040-8693 | 2007-06-03 |
1740347269 | Judith E Mitchell | Social Worker | 146 Court St, Plymouth, MA 02360-3851 | 2007-01-03 |
1053382739 | Judith A Mitchell | Nurse Practitioner | 248 Pleasant St, Suite 1700, Concord, NH 03301-2588 | 2006-01-30 |
1750376125 | Judith E. Mitchell | Internal Medicine | 450 Clarkson Ave, 2nd Fl. Rm# A2-393, Brooklyn, NY 11203-2056 | 2005-09-13 |
1962402198 | Judith S. Mitchell | Nurse Practitioner | 5201 Harry Hines Blvd, Wish Tubal Clinic, Dallas, TX 75235-7708 | 2005-07-29 |
Street Address |
4999 SKYLINE RD. S. |
City | SALEM |
State | OR |
Zip Code | 97306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
1457447930 | Sandra Renee Albert | Technician/Technologist | 5125 Skyline Rd Se, Salem, OR 97306 | 2006-10-04 |
Find all providers in zip 97306 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
1639614852 | Gregory Bull | Physician Assistant | 622 Fernwood Dr, Salem, VA 24153-2654 | 2016-12-24 |
1841648862 | Theron J Wiese | Physician Assistant | 1395 Commercial St Se, Salem, OR 97302-4205 | 2016-05-31 |
1922329697 | Charleen Ann Thorburn | Physician Assistant | 22 Keewaydin Dr, Salem, NH 03079-2839 | 2010-06-17 |
1215912712 | Amy Gouley | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2005-12-07 |
1306827100 | William Earle Williams | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2005-11-08 |
1700485224 | Roderick Mao | Physician Assistant | 159 N Broadway, Salem, NH 03079-2136 | 2020-10-26 |
1447719752 | Christine Nicole Jeffries | Physician Assistant | 360 Church St Se, Salem, OR 97301-3796 | 2019-03-16 |
1265999338 | Brolin Johnson | Physician Assistant | 1793 13th St Se, Salem, OR 97302-2541 | 2019-02-26 |
1073088191 | Fiorella Saavedra | Physician Assistant | 255 Lancaster Dr Ne, Salem, OR 97301-5155 | 2018-10-04 |
Find all providers in SALEM |
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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.