MS. CONNIE L MITCHELL


Address: 5525 Greenway St, Unit B-2, Detroit, MI 48204-2112
Phone: 3137011187

MS. CONNIE L MITCHELL (NPI# 1710097019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710097019
Entity Type Individual
Full Name MS. CONNIE L MITCHELL
Credential MD
Practice Address 5525 Greenway St
Unit B-2
Detroit
MI 48204-2112
Practice Telephone 3137011187
Practice Fax Number 3139319113
Mailing Telephone 3137011187
Mailing Fax Number 3139319113
Enumeration Date 2006-08-30
Last Update Date 2011-02-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine M4301056553 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4706980 05

Other Providers CONNIE MITCHELL

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1295230373 Connie Jean Mitchell Counselor 1867 Huntley Way, Burlington, NC 27215-8591 2018-03-29
1881236495 Connie Mitchell Counselor 1742 Cheryl St, Clarksdale, MS 38614-7218 2019-10-15
1518314673 Connie A Mitchell Counselor 1635 Foxtrail Dr, Loveland, CO 80538-9086 2016-05-18

Office Location

Street Address 5525 GREENWAY ST
UNIT B-2
City DETROIT
State MI
Zip Code 48204-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386767473 Imhotep Medical Services, Inc. Family Medicine 5525 Greenway St, Detroit, MI 48204-2112 2007-04-06

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NPI Name Taxonomy Address Enumeration
1033763347 Latrese Tucker Contractor 9600 Wyoming, Detroit, MI 48204 2019-07-25
1023477296 Lloyd Tender Care LLC Home Health 8360 Alpine, Detroit, MI 48204 2016-02-17
1104132703 Chelseas Home Care Custodial Care Facility 12391 Birwood, Detroit, MI 48204 2010-08-20
1407001332 Wards Holy Management Outreach Church Point of Service 12410 Wyoming St Fl 2, Detroit, MI 48204 2008-11-19
1346498250 Jamila B Boulaalam Dentist 9685 Gd River, Detroit, MI 48204 2008-09-04
1245427186 Hollis Whitcliffe James Dentist 10241 Joy Road, Detroit, MI 48204 2007-09-25
1861510679 Roger James Gregory Counselor 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 2007-03-27
1558464743 Gerald Jacob Najor Pharmacist 7350 Grand River, Fraser Drugs, Detroit, MI 48204 2006-09-06
1255449740 Deborah Oliver Dentist 8325 Grand River, Detroit, MI 48204 2006-08-26
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194354811 Lorie Ann Turner Family Medicine 1728 Sheridan St, Detroit, MI 48214-2410 2020-04-04
1134787633 Behavioral Health Professionals, Inc Family Medicine 19750 Burt Road, Detroit, MI 48219 2019-05-31
1508326687 Randi Nguyen Family Medicine 22151 Moross Rd Ste 212, Detroit, MI 48236-2177 2019-03-23
1982194338 Green Cross Medical Center PC Family Medicine 18041 Greenfield Rd, Detroit, MI 48235-3120 2018-05-11
1205339306 Conant Family Care Pllc Family Medicine 3611 Carpenter St Ste 5, Detroit, MI 48212-2784 2018-03-14
1801303086 St Mary Mercy Physician Practices Family Medicine 5555 Conner St Ste 2691, Detroit, MI 48213-3812 2018-01-09
1427408376 Raquel Orlich Family Medicine 1620 Michigan Ave Ste 125, Detroit, MI 48216-1493 2016-06-21
1295181543 Ammar Charestan Family Medicine 6071 Outer Dr W, Detroit, MI 48235 2016-05-05
1629423652 Rajni Parmar Family Medicine 6001 W Outer Dr Ste 430, Detroit, MI 48235-2626 2016-04-27
1265886733 Benjamin Abraham Family Medicine One Ford Place 2e, Henry Ford Hospital, Department of Family Medicine, Detroit, MI 48202 2016-04-20
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Competitor

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City DETROIT
Zip Code 48204

Improve Information

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Dataset Information

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.

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