JENNIFER MITCHELL (NPI# 1508244260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508244260 |
| Entity Type | Individual |
| Full Name | JENNIFER MITCHELL |
| Credential | M.D. |
| Practice Address |
4010 Aerial Way Eugene OR 97402-9757 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5412426353 |
| Practice Fax Number | 5412428413 |
| Mailing Telephone | 3607291253 |
| Mailing Fax Number | 3607293185 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD190160 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MT208877 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Valley River Dr Ste 110, Eugene, OR 974016758 | 5412227378 | 5412227389 |
| 3321 W 11th Ave, Eugene, OR 974023040 | 5412227200 | 5414843060 |
| 420 S 5th Ave, West Reading, PA 19611 | 4846288855 | 4846288390 |
| 180 Melton Rd, Creswell, OR 974269453 | 5412227700 | 5418955426 |
| 860 Beltline Rd, Springfield, OR 974771091 | 5412226005 | 5412226029 |
| 1515 Village Dr, Cottage Grove, OR 974249700 | 5417675200 | 5417675399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1669093001 | Jennifer Mitchell | Marriage & Family Therapist | 2108 23rd St, Rockford, IL 61108-6015 | 2020-04-27 |
| 1932729266 | Jennifer M Mitchell | Assisted Living Facility | 1976 Academy Ave, Tulare, CA 93274-3187 | 2020-04-16 |
| 1811538598 | Jennifer L Mitchell | Physician Assistant | 21 Susquehanna Valley Mall Dr Ste D, Selinsgrove, PA 17870-9148 | 2019-10-03 |
| 1750945903 | Jennifer L Mitchell | Registered Nurse | 644 State Line Rd, Colcord, OK 74338 | 2019-04-23 |
| 1063998870 | Jennifer Mitchell | Specialist/Technologist | 11502 Belmack Blvd S, Odessa, FL 33556-5104 | 2018-07-15 |
| 1841704855 | Jennifer L Mitchell | Counselor | 14125 Cedar Cir, Omaha, NE 68144-2120 | 2017-11-29 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1306223284 | Jennifer M Mitchell | Social Worker | 656 Apple Ave, Holland, MI 49423-5438 | 2015-04-30 |
| 1083003115 | Jennifer Quinn Mitchell | Physician Assistant | 35 Talcottville Rd Ste 5, Vernon, CT 06066-5261 | 2015-01-13 |
| Street Address |
4010 AERIAL WAY |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984588 | Bradley Thiren Johnson | Pharmacist | 4010 Aerial Way, Eugene, OR 97402-9757 | 2005-07-07 |
| 1093314122 | Tiffany Marie Noone | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2020-10-20 |
| 1093345654 | Michelle Jenny Gohl | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2020-01-23 |
| 1821647173 | Haley Grace Ruljancich | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2019-09-10 |
| 1891264974 | Shawn M Jones | Registered Nurse | 4010 Aerial Way, Eugene, OR 97402-9757 | 2018-11-18 |
| 1679055594 | Joeann Pansoy | Family Medicine | 4010 Aerial Way, Eugene, OR 97402-9757 | 2018-09-06 |
| 1962953281 | Gabrielle Lorraine Lauf | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-10-21 |
| 1972052843 | Heidi Holling | Nurse Practitioner | 4010 Aerial Way, Family Medicine, Eugene, OR 97402-9757 | 2016-10-03 |
| 1548713399 | Samantha Marie Radel | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-07-28 |
| 1316396385 | Katherine Elizabeth Omernick | Pediatrics | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| 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 |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| 1831643105 | Amanda Margaret Danziger | Family Medicine | 330 S Garden Way Ste 350, Eugene, OR 97401-8179 | 2016-08-04 |
| 1225304876 | Charles Baxter Woodworth I | Family Medicine | 888 West Park St., Eugene, OR 97401 | 2012-03-28 |
| 1306163910 | George Green Degner | Family Medicine | 92076 Coburg Rd, Eugene, OR 97408-9221 | 2010-04-23 |
| 1831347525 | Rodney Schaffer Md PC | Family Medicine | 400 E 2nd Ave Ste 105, Eugene, OR 97401-2452 | 2008-09-05 |
| 1306010764 | John E Sattenspiel | Family Medicine | 1800 Millrace Dr, Eugene, OR 97403-1992 | 2008-04-16 |
| 1265612329 | Kathleen K Cordes | Family Medicine | 401 E 10th Ave Ste 250, Eugene, OR 97401-3362 | 2007-11-06 |
| 1467653766 | Lawrence Lyon | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2007-05-31 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| Find all providers in EUGENE | ||||
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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.