GLEN MITCHELL (NPI# 1437139565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437139565 |
| Entity Type | Individual |
| Full Name | GLEN MITCHELL |
| Credential | PA-C |
| Practice Address |
4327 Barnett Rd Wichita Falls TX 76310-2303 |
| Mailing Address |
501 Midwestern Pkwy E Wichita Falls TX 76302-2302 |
| Practice Telephone | 9403975400 |
| Practice Fax Number | 9403975487 |
| Mailing Telephone | 9407668435 |
| Mailing Fax Number | 9407668497 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00709 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073694063 | Glen Mitchell | Dentist | 2010 Central Ave, Dodge City, KS 67801-6422 | 2006-10-18 |
| 1376648055 | Glen B Mitchell | Dentist | 7000 W Palmetto Park Rd, Suite 504, Boca Raton, FL 33433-3424 | 2006-09-14 |
| Street Address |
4327 BARNETT RD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76310-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169040 | Brian Cottrell Hull | Family Medicine | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2005-07-26 |
| 1346859378 | Amber Jackson | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2020-07-27 |
| 1144851486 | Mackenzie Larae Quigley | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2020-01-27 |
| 1437792223 | Blayne Berry | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2019-10-24 |
| 1699325050 | Tosha Renee Chesar | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2019-09-18 |
| 1609331354 | David Michael Ferguson | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2019-02-07 |
| 1508335217 | Julie Ann Borchardt | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2018-11-26 |
| 1598232886 | Darla Jan Bonner | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2018-10-25 |
| 1841766946 | Bobbie Jo Mckenzie | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2018-10-17 |
| 1699250274 | David Michael Mahler | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2018-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329067 | Alesha Lynn Dean | Licensed Vocational Nurse | 6211 Talon Trail, Wichita Falls, TX 76310 | 2018-06-07 |
| 1962766741 | Kimberly D'anne Ravelo | Audiologist | 1 Burnside Drive, Wichita Falls, TX 76310 | 2012-06-27 |
| 1407142417 | Tobin Strom | Radiology | Texas Oncology, 5400 Kell West Blvd, Wichita Falls, TX 76310 | 2011-06-28 |
| 1386850055 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 6086 Kovarik Road, Wichita Falls, TX 76310 | 2007-05-16 |
| 1639391394 | Amy Louise Walmsley | Pharmacist | 1724 Woodridge Dr, Wichita Falls, TX 76310 | 2007-05-03 |
| 1619007416 | Stephanie Joy Postma | Specialist/Technologist | #1 West Medical Court, Wichita Falls, TX 76310 | 2007-03-07 |
| 1568518306 | Bestcare Health Services,inc | Home Health | 5800 Kell West Blvd, Suite 500, Wichita Falls, TX 76310 | 2007-01-26 |
| 1851453856 | Anthony Armando Denis Noya | Family Medicine | 8 Prairie Lace Court, Wichita Falls, TX 76310 | 2006-12-15 |
| 1629295621 | Kell Primary Care Pa | Family Medicine | 5500 Kell West Blvd, Suite 500, Wichita Falls, TX 76310 | 2007-04-19 |
| 1700900511 | Ralph Nmi Kauley Jr. | Physician Assistant | 5420 Kell West Blvd, Kell West Regional Hospital, Wichita Falls, TX 76310 | 2007-03-19 |
| Find all providers in zip 76310 | ||||
| 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 |
|---|---|---|---|---|
| 1144765330 | Christy S Funk | Physician Assistant | 901 Indiana Ave Ste 540, Wichita Falls, TX 76301-6734 | 2016-12-27 |
| 1982896254 | George Kennie Phillis | Physician Assistant | 1300 7th Street, Suite 110, Wichita Falls, TX 76301-2305 | 2007-08-10 |
| 1982612149 | Hiram Jeffrey Bollinger | Physician Assistant | 1800 7th St, Wichita Falls, TX 76301-4204 | 2006-08-04 |
| 1922066091 | Robert Edward Powell | Physician Assistant | 5013 Whisper Wind Dr, Wichita Falls, TX 76310-3075 | 2006-05-01 |
| 1063497790 | Richard Kirk Higgins | Physician Assistant | 1700 3rd St, Wichita Falls Employee Family Health Center, Wichita Falls, TX 76301-2113 | 2005-12-15 |
| 1578555686 | Patricia M Ackley | Physician Assistant | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2005-08-16 |
| 1982171914 | Kenneth James Jenkins Jr. | Physician Assistant | 1631 11th St Unit B, Wichita Falls, TX 76301-4332 | 2018-10-29 |
| 1326520271 | Megan Eckman | Physician Assistant | 1301 3rd St, Wichita Falls, TX 76301 | 2018-09-06 |
| 1235610700 | Stephen Christopher Poe | Physician Assistant | 1600 11th St, Wichita Falls, TX 76301-4300 | 2018-08-23 |
| 1831696723 | Sayeh Sadeghpour | Physician Assistant | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2018-04-09 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76310 |
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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.