DR. JOHN W MITCHELL (NPI# 1417975186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417975186 |
| Entity Type | Individual |
| Full Name | DR. JOHN W MITCHELL |
| Credential | MD |
| Practice Address |
2375 Champions Blvd Auburn AL 36830-6471 |
| Mailing Address |
Po Box 2145 Opelika AL 36803-2145 |
| Practice Telephone | 3343213700 |
| Practice Fax Number | 3348877475 |
| Mailing Telephone | 3343213700 |
| Mailing Fax Number | 3348877475 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11981 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51542690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952764078 | John Mitchell Iv | Licensed Practical Nurse | 185 Greencroft Rd, Bedford, OH 44146-2064 | 2016-04-05 |
| 1659757722 | John Mitchell | Licensed Vocational Nurse | 2015-07-30 | |
| 1295058105 | John William Mitchell | Specialist/Technologist | 31950 Pauba Rd, Temecula, CA 92592-3500 | 2010-03-05 |
| 1457596603 | John Charles Mitchell IIi | Specialist | 920 10th St Sw, Rochester, MN 55902-2067 | 2008-12-02 |
| 1508909292 | John Carl Mitchell | Spec/Tech, Cardiovascular | 1405 Rockhaven Dr, Modesto, CA 95356-9682 | 2007-02-14 |
| 1487796280 | John P Mitchell | Social Worker | 3300 County Road 10, Suite 400, Brooklyn Center, MN 55429-3072 | 2007-02-12 |
| 1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
| 1386792406 | John William Mitchell | Counselor | 5100 Poplar Ave Ste 2897, Memphis, TN 38137-4000 | 2007-01-08 |
| 1043371560 | John Douglas Mitchell | Chiropractor | 12271 Sutton Way, Grass Valley, CA 95945 | 2006-12-12 |
| 1851467898 | John R Mitchell | Social Worker | 887 2nd St, Fall River, MA 02721-1998 | 2006-11-28 |
| Street Address |
2375 CHAMPIONS BLVD |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-6471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959444 | Kimberly Coker Brunsting | Nurse Practitioner | 2375 Champions Blvd, 3rd Floor, Auburn, AL 36830-6471 | 2005-08-17 |
| 1942742325 | Nash Dermatology, LLC | Dermatology | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2016-11-16 |
| 1063814952 | Keith Matthews | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2014-09-23 |
| 1194078022 | James Richard Herring | Internal Medicine | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2012-10-16 |
| 1760746309 | Felicia Murphy Gardner | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6601 | 2012-06-28 |
| 1699009514 | Patricia Vickery Beam | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2009-09-24 |
| 1326201856 | Kevin Tyler Nash | Dermatology | 2375 Champions Blvd, Suite 100, Auburn, AL 36830-6471 | 2008-07-03 |
| 1669587960 | Ivan Lewis Slavich IIi | Internal Medicine | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2006-08-20 |
| 1265450878 | Allan Schwadron | Specialist | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2006-07-18 |
| 1538187158 | David A Pate | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 33830-6471 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1487014809 | Madison Clair Emry | Specialist | 4017 A Street Se, B101, Auburn, WA 98002 | 2016-02-26 |
| 1114396017 | Megan Walker | Specialist | 3573 Opal Dr Apt 2, Auburn, CA 95602-2426 | 2015-09-21 |
| 1912390527 | Amanda Pergrim | Specialist | 12727 Se 318th Way, Auburn, WA 98092-3672 | 2015-03-06 |
| 1225434160 | Michele Derouin | Specialist | 502 50th St Se, Auburn, WA 98092-9499 | 2014-11-04 |
| 1871914010 | Michelle M Allen | Specialist | 821 Harvey Rd Ne, Auburn, WA 98002-4225 | 2013-12-13 |
| 1962846923 | Susan Phillips-coe | Specialist | 3259 Franklin Street Rd, Auburn, NY 13021-8936 | 2013-04-22 |
| 1407197510 | Leah Jensen | Specialist | 6365 Barbara Ln, Auburn, CA 95602-8830 | 2013-03-14 |
| 1992053235 | Kimberly K Dennis | Specialist | 1101 Supermall Way #1269, Auburn, WA 98001 | 2012-08-16 |
| 1821350810 | Sarah Messenger Gleason | Specialist | 5319 W Lake Rd, Auburn, NY 13021-1151 | 2012-06-14 |
| Find all providers in AUBURN | ||||
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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.