CHARLES A. MITCHELL (NPI# 1861555419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861555419 |
| Entity Type | Organization |
| Organization Name | CHARLES A. MITCHELL |
| Practice Address |
206 Babb Dr # B Lebanon TN 37087-2508 |
| Practice Telephone | 6154434112 |
| Practice Fax Number | 6154434180 |
| Mailing Telephone | 6154434112 |
| Mailing Fax Number | 6154434180 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | DR. CHARLES A MITCHELL JR. (OWNER) |
| Authorized Official Telephone | 6154434112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD7104 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CHARLES MITCHELL MD NPI | 1063409845 | 01 |
| TN | SOCIAL SECURITY # | $$$$$$$$$ | 01 |
| TN | C. AUSTIN MITCHELL MD NPI | 1245238567 | 01 |
| TN | BLUE CROSS PROVIDER # | 78775 | 01 |
| Street Address |
206 BABB DR # B |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528124195 | Kyle Leland Horner | Dermatology | 2500 S. Main Road, Lebanon, OR 97355 | 2006-12-28 |
| 1205897840 | Judy Y Hu | Dermatology | 1405 Baddour Pkwy, Suite 101, Lebanon, TN 37087-2595 | 2006-03-31 |
| 1598745747 | Daniel G Zavadak | Dermatology | 923 Russell Dr, Lebanon, PA 17042-7487 | 2006-01-21 |
| 1063409845 | Charles Austin Mitchell Jr. | Dermatology | 206b Babb Dr, Lebanon, TN 37087-2508 | 2005-10-05 |
| 1952301301 | Georgia A Tuttle | Dermatology | 129 Mechanic St, Lebanon, NH 03766-1522 | 2005-07-28 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1013379262 | Brian Simmons | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-03-27 |
| 1538546957 | Carsten Robert Hamann | Dermatology | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2015-05-05 |
| 1295155232 | Emily E Shaughnessy | Dermatology | 18 Old Etna Rd, Dermatology, Lebanon, NH 03766 | 2014-04-17 |
| 1295172054 | Matthew Robert Leboeuf | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766 | 2013-06-03 |
| Find all providers in LEBANON | ||||
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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.