Hal A Mitchell (NPI# 1649230541, PAC ID# 0143249516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1649230541 |
| PAC ID by PECOS | 0143249516 |
| Professional Enrollment ID | I20080123000043 |
| Full Name | Hal A Mitchell |
| Organization Legal Name | EMURGENT CARE LLC |
| Address |
109 E Ellendale Ave B Dallas OR 97338-1509 |
| Phone Number | 5036233199 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9830325075 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381308 | WEST VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 109 E Ellendale Ave B, Dallas, OR 97338-1509 | 5036233199 | EMURGENT CARE LLC |
| Organization Legal Name | EMURGENT CARE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Marie Trevor | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Jeremy Gaylon Waldie | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Laura J Cheshire | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Jackie J Sochin | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Daniel A Lowery | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Janet A Matthews | Nurse Practitioner | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Street Address |
109 E ELLENDALE AVE B |
| City | DALLAS |
| State | OR |
| Zip | 97338-1509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Gaylon Waldie | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Daniel A Lowery | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Janet A Matthews | Nurse Practitioner | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Holton Jr. | Chiropractic | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1500 | |
| Brent M Darrington | Physical Therapy | 289 E Ellendale Ave, Suite 101, Dallas, OR 97338-1500 | |
| Eric M Drake | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Ryan M Delcambre | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Nate M Paredes | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Kristin Marie Trevor | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Laura J Cheshire | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Jackie J Sochin | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Grant William Knowles | Optometry | Polk Vision Clinics Inc. | 506 Main St, Dallas, OR 97338-1915 |
| Garrett W Knowles | Optometry | Polk Vision Clinics Inc. | 506 Main St, Dallas, OR 97338-1915 |
| Find all physicians in zip 97338 | |||
| City | DALLAS |
| Zip Code | 97338 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DALLAS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Hal A Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.