ROBERT BYRON MITCHELL (NPI# 1346684313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346684313 |
| Entity Type | Individual |
| Full Name | ROBERT BYRON MITCHELL |
| Credential | D.O. |
| Practice Address |
508 Upland St Kenai AK 99611 |
| Mailing Address |
508 Upland St Kenai AK 99611-8026 |
| Practice Telephone | 9073357500 |
| Mailing Telephone | 9073357500 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 141983 | AK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | Q5229 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 358545701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 River North Blvd, Stephenville, TX 764011803 | 2549686051 | 2549684950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084032 | Robert Alfred Mitchell | Internal Medicine | 1425 Madison Ave Rm 1170, New York, NY 10029-6514 | 2019-07-11 |
| 1467004648 | Robert Lee Mitchell Jr. | Counselor | 3326 Mather Field Rd, Rancho Cordova, CA 95670-5966 | 2019-07-09 |
| 1508231978 | Robert Jason Mitchell | Specialist | 950 15th St Rm 3c164, Augusta, GA 30901-2608 | 2015-12-10 |
| 1871839670 | Robert M. Mitchell | Anesthesiology | 21345 Amora, Mission Viejo, CA 92692-4932 | 2012-12-25 |
| 1750660643 | Robert A Mitchell | Pharmacist | 10817 W Highway 71, Second Floor, Austin, TX 78735-9609 | 2011-08-09 |
| 1033497441 | Robert D Mitchell | Internal Medicine | 11761 Almond Ct, Loma Linda, CA 92354-3640 | 2011-08-02 |
| 1922313758 | Robert Mitchell IIi | Driver | 1435 Bristlecone Dr, O Fallon, IL 62269-2559 | 2010-08-17 |
| 1396903670 | Robert Ben Mitchell | General Practice | 16375 Ne 18th Ave, Suite 310, North Miami Beach, FL 33162-4753 | 2008-05-23 |
| 1003026303 | Robert Mitchell | Psychologist | 1059 Alameda De Las Pulgas, Belmont, CA 94002-3507 | 2007-05-23 |
| 1831257443 | Robert B Mitchell | Optometrist | 10515 N Oracle Rd, Ste 145, Oro Valley, AZ 85737-9378 | 2006-12-05 |
| Street Address |
508 UPLAND ST |
| City | KENAI |
| State | AK |
| Zip Code | 99611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606461 | Heather Leigh Callum | Pediatrics | 508 Upland St, Kenai, AK 99611-8026 | 2005-08-22 |
| 1194325043 | Darlene Charmaine Olsen-holst | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2020-10-29 |
| 1942849385 | Erica Nicole Long | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2020-01-02 |
| 1356990055 | Rebecca Strong | Social Worker | 508 Upland St, Kenai, AK 99611-8026 | 2019-09-05 |
| 1407409832 | Koleen Jenness Wittmer | Counselor | 508 Upland St, Kenai, AK 99611-8026 | 2019-07-24 |
| 1760047419 | Adam Zufelt | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-08 |
| 1811552573 | Annette Schultz | Case Manager/Care Coordinator | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-07 |
| 1134784192 | Karina Lorenzo | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1699330571 | Shelley Dawne Powell- Zimmer | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| 1316502230 | Mackenzie Rae Pietz | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176368 | Functional Medicine of Alaska, LLC | Family Medicine | 508 S Willow St Ste C, Kenai, AK 99611-6940 | 2018-12-22 |
| 1447736491 | John Martin Kinsey | Family Medicine | 509 Pine Ave, Kenai, AK 99611-7556 | 2018-07-12 |
| 1043496268 | Samuel Herman Schurig | Family Medicine | 10543 Kenai Spur Highway, Kenai, AK 99611 | 2008-01-17 |
| 1043361629 | Kim Edward Thiele | Family Medicine | 36901 Mallard Rd, Kenai, AK 99611-6434 | 2007-01-12 |
| 1114077468 | Ray Lynn Carlson | Family Medicine | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 | 2007-01-11 |
| 1609944271 | Kenneth S Hahn | Family Medicine | 11472 Kenai Spur Hwy Ste 2, Kenai, AK 99611-7779 | 2006-12-01 |
| 1316932031 | Terri Lee Elliott | Family Medicine | 135 Bidarka St, Suite 101, Kenai, AK 99611-7741 | 2005-09-19 |
| 1326048414 | Michael Edward Merrick | Family Medicine | 416 Frontage Rd, Suite 400, Kenai, AK 99611-7770 | 2005-07-29 |
| 1124667498 | Independence Healthcare PC | Family Medicine | 100 Trading Bay Rd Ste 8, Kenai, AK 99611-7786 | 2020-01-03 |
| 1811135247 | R Lynn Carlson Md PC Medicenter | Family Medicine | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 | 2009-01-22 |
| Find all providers in KENAI | ||||
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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.