MR. PHILLIP DAKOTAH MITCHELL (NPI# 1376037424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376037424 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP DAKOTAH MITCHELL |
| Other Name | DAKOTAH MITCHELL |
| Practice Address |
10020 Euphrates River Valley Road Fort Drum NY 13602 |
| Mailing Address |
11562b Northern Blvd Fort Drum NY 13603-3509 |
| Practice Telephone | 2707988400 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376046631 | Phillip Ryan Mitchell | Counselor | 121 N Woodrow Ln Ste 103, Denton, TX 76205-6339 | 2018-03-13 |
| 1235117466 | Phillip R Mitchell | Anesthesiology | 3020 Keller Bend Rd, Knoxville, TN 37922-6521 | 2006-01-06 |
| 1477996346 | Phillip Michael Mitchell | Orthopaedic Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-04-10 |
| 1144517053 | Phillip Scott Mitchell | Physical Therapist | 1836 South Ave, La Crosse, WI 54601-5429 | 2011-06-30 |
| 1053325167 | Phillip Anthony Mitchell | Dentist | 5511 Highway 280, Suite 118, Birmingham, AL 35242-6585 | 2006-07-27 |
| 1518932102 | Phillip A Mitchell | Emergency Medicine | 7700 S Broadway, Littleton, CO 80122-2602 | 2006-02-17 |
| Street Address |
10020 EUPHRATES RIVER VALLEY ROAD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| 1508395294 | Jamie Michael Bennett | Social Worker | Ebh 1bct 5th Armored Division Drive, Fort Drum, NY 13602 | 2017-06-07 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609429075 | Kelly Gregorio | Physician Assistant | Conner Troop Medical Clinic, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 | 2019-07-24 |
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1871035824 | Sarah Erickson | Physician Assistant | 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2016-11-08 |
| 1710376173 | Stephen M. Hanna | Physician Assistant | 10506 S. Riva Ridge Rd., Fort Drum, NY 13602 | 2015-01-22 |
| 1245642156 | Michael Hunt | Physician Assistant | S. Riva Ridge Loop, Conner Troop Medical Clinic, Bldg 10506a, Fort Drum, NY 13602 | 2014-05-27 |
| 1528482817 | April Joy Argana Rivers | Physician Assistant | P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2014-02-07 |
| 1053676114 | Christopher Michael Mueller | Physician Assistant | 10310 North Riva Ridge Loop, Bldg: 10310, Fort Drum, NY 13602-5110 | 2012-07-05 |
| 1831458116 | Gonzalo De Taboada | Physician Assistant | 10519 Euphrates River Valley Road, Fort Drum, NY 13602 | 2012-05-08 |
| 1194091876 | David M Chavez | Physician Assistant | 31 In Bn 04 In Bn Ibct, Fort Drum, NY 13602 | 2012-03-28 |
| Find all providers in FORT DRUM | ||||
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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.