TIMOTHY MITCHELL (NPI# 1518995315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518995315 |
| Entity Type | Individual |
| Full Name | TIMOTHY MITCHELL |
| Credential | DO |
| Practice Address |
1350 S Kings Dr Charlotte NC 28207-2134 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044461422 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
200300071 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Medical Park Dr, Ste 310, Concord, NC 280252948 | 7044032660 | |
| 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 282035866 | 7043818840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972806644 | Timothy W Mitchell | Physical Therapist | 2320 County Road 25, Bloomindale, OH 43910 | 2010-12-17 |
| 1477648764 | Timothy G Mitchell | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850 | 2006-10-04 |
| 1841208519 | Timothy A Mitchell | Oral & Maxillofacial Surgery | 27 Brentwood Rd, Cape Elizabeth, ME 04107-2224 | 2006-08-04 |
| 1629584578 | Timothy Wilbur Mitchell Jr. | Social Worker | 313 Clifton St, Greenville, NC 27858-5008 | 2017-12-14 |
| 1457677627 | Timothy Mitchell | Obstetrics & Gynecology | 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 | 2010-04-13 |
| 1437126802 | Timothy A Mitchell | Psychiatry & Neurology | 859 Willamette St Ste 330, Eugene, OR 97401 | 2006-03-03 |
| Street Address |
1350 S KINGS DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132259 | John Mcnamara | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2005-05-23 |
| 1013545417 | Grant Blanchard | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-31 |
| 1992333884 | Bria Burris | Student in an Organized Health Care Education/Training Program | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-28 |
| 1427685668 | Kendall Parrott | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-26 |
| 1023645538 | Katherine Elizabeth Akeley | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-25 |
| 1386271898 | Anna Catherine Raines | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-25 |
| 1932752409 | Laura Mcdowell | Nurse Practitioner | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-23 |
| 1992358816 | Carley Chardukian | Nurse Practitioner | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-19 |
| 1174175202 | Lyndsay Clark | Physician Assistant | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-09 |
| 1508420910 | Catherine Harte O'grady | Social Worker | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154820934 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 2608 E 7th St, Ste 100d, Charlotte, NC 28204-4375 | 2018-02-07 |
| 1649682758 | Patricia Dias | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2014-05-22 |
| 1770924557 | Sharina Rajbhandari | Pediatrics | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2013-07-09 |
| 1275899379 | Jenna Humphrey Hogan | Pediatrics | 200 Hawthorne Ln, Charlotte, NC 28204 | 2012-04-03 |
| 1356576649 | Ronald Sutsko | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2009-05-15 |
| 1417085325 | James Jones II | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2007-03-01 |
| 1497843247 | Nathan M Jesse | Pediatrics | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2006-10-10 |
| 1437263498 | Yvette Gamble | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-08-18 |
| 1609894831 | Julie Gooding | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-07-17 |
| 1255356515 | David Fisher | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-07-13 |
| Find all providers in CHARLOTTE | ||||
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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.