MR. MARK EDWARD MITCHELL (NPI# 1689634479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689634479 |
| Entity Type | Individual |
| Full Name | MR. MARK EDWARD MITCHELL |
| Credential | M.D. |
| Practice Address |
2960 Tongass Avenue Ketchikan AK 99901-5742 |
| Practice Telephone | 9072284900 |
| Practice Fax Number | 8008523264 |
| Mailing Telephone | 9072284900 |
| Mailing Fax Number | 8008523264 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2681761205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 82071365 | 05 | |
| UT | D0289 | 05 | |
| AZ | 314804 | 05 | |
| NM | 52588084 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336552462 | Mark Mitchell | Counselor | 119 E Center St Ste B6, Warsaw, IN 46580-2849 | 2014-06-05 |
| 1720267917 | Mark Mitchell | Counselor | 2945 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2007-10-24 |
| 1013107499 | Mark Anthony Mitchell | Military Health Care Provider | 1140 Kellum Loop Rd, #36, Jacksonville, NC 28546-3321 | 2007-07-31 |
| 1972729937 | Mark R Mitchell | Radiology | 2001 N. Solar Dr., Suite 135, Oxnard, CA 93036 | 2007-04-18 |
| 1194881177 | Mark T Mitchell | Dentist | 10 Orchard St, Walden, NY 12586-1802 | 2006-12-28 |
| 1679675185 | Mark Archer Mitchell | Dentist | 1941 S Ohio St, Salina, KS 67401-6602 | 2006-09-04 |
| 1003833633 | Mark Anthony Mitchell | Emergency Medicine | 6800 Broken Sound Pkwy Nw, Ste 150a, Boca Raton, FL 33487-5709 | 2006-07-17 |
| 1053364307 | Mark Anthony Mitchell | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-05-18 |
| 1225009020 | Mark Mitchell | Obstetrics & Gynecology | 110 Irving St Nw Rm 5b-18, Dept. of Ob/gyn, Washington, DC 20010-3017 | 2006-01-30 |
| 1386634343 | Mark Wayne Mitchell | Dentist | 6731 Madison St, New Port Richey, FL 34652-1928 | 2005-10-21 |
| Street Address |
2960 TONGASS AVENUE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909220 | Eric David Nance | Dentist | 2960 Tongass Avenue, Ketchikan, AK 99901 | 2015-07-30 |
| 1104067974 | Tanya Ivanivna Hallgren | Counselor | 2960 Tongass Avenue, First Floor Ketchikan Indian Community Tribal Health Cl, Ketchikan, AK 99901 | 2009-03-09 |
| 1316185499 | Timothy Martin Brinker | Physician Assistant | 2960 Tongass Avenue, Ketchikan, AK 99901-5742 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| 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 |
|---|---|---|---|---|
| 1871547869 | Jeanne Marie Snyder | Family Medicine | 1621 Tongass Ave, Suite 304, Ketchikan, AK 99901-6013 | 2006-05-22 |
| 1154315109 | Kathryn Lynn Price | Family Medicine | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2005-09-06 |
| 1780036491 | Andrea A. Lui | Family Medicine | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2016-07-06 |
| 1710337381 | Ian Dobbe | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-06-15 |
| 1477847184 | Creekside Family Health Clinic Inc | Family Medicine | 320 Bawden St, Suite #313, Ketchikan, AK 99901-6573 | 2011-05-31 |
| 1538458138 | Andrew Briggs Sanders | Family Medicine | 212 Carlanna Lake Rd, Suite 100, Ketchikan, AK 99901-5642 | 2011-04-04 |
| 1700904406 | Robert Randall Gibson | Family Medicine | 212 Carlanna Lake Rd Ste 100, Ketchikan, AK 99901-5642 | 2007-03-27 |
| 1407887763 | Diane L Liljegren | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-07-05 |
| 1003846197 | V Malurkar Anthes | Family Medicine | 3524 Tongass Ave, Ketchikan, AK 99901-5635 | 2006-07-04 |
| 1790711992 | Andrew D Pankow | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-06-23 |
| Find all providers in KETCHIKAN | ||||
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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.