Marco M Mitchell (NPI# 1467700328, PAC ID# 0648422089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467700328 |
| PAC ID by PECOS | 0648422089 |
| Professional Enrollment ID | I20121210000433 |
| Full Name | Marco M Mitchell |
| Organization Legal Name | MICHAEL B PURNELL MD INC |
| Address |
1335 Coffee Rd Suite 100 Modesto CA 95355-3192 |
| Phone Number | 2095244438 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103904222 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050726 | STANISLAUS SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1335 Coffee Rd, Suite 100, Modesto, CA 95355-3192 | 2095244438 | MICHAEL B PURNELL MD INC |
| Organization Legal Name | MICHAEL B PURNELL MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Purnell | Orthopedic Surgery | Michael B Purnell Md Inc | 1335 Coffee Rd, Suite 100, Modesto, CA 95355-3192 |
| Street Address |
1335 COFFEE RD SUITE 100 |
| City | MODESTO |
| State | CA |
| Zip | 95355-3192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven H Peterson | Orthopedic Surgery | Orion Orthopaedic Trauma Inc | 1335 Coffee Rd, Suite 100, Modesto, CA 95355-3192 |
| Christopher Nodecker | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1335 Coffee Rd, Suite 200, Modesto, CA 95355-3192 |
| Paul Joseph Braaton | Orthopedic Surgery | 1335 Coffee Rd, Suite 100, Modesto, CA 95355-3192 | |
| Brian Melrose | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1335 Coffee Rd, Suite 200, Modesto, CA 95355-3192 |
| Stephen Douglas Toy | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1335 Coffee Rd, Suite 200, Modesto, CA 95355-3192 |
| Melody Anne Stephens | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1335 Coffee Rd, Suite 200, Modesto, CA 95355-3192 |
| Julie Scherer | Physician Assistant | William J Holmes Md Inc | 1335 Coffee Rd, Suite 100, Modesto, CA 95355-3192 |
| Chelsey Leigh Claassen | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1335 Coffee Rd, Suite 200, Modesto, CA 95355-3192 |
| Kyle Bonin | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 1335 Coffee Rd, Suite 200, Modesto, CA 95355-3192 |
| Michael B Purnell | Orthopedic Surgery | Michael B Purnell Md Inc | 1335 Coffee Rd, Suite 100, Modesto, CA 95355-3192 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MODESTO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marco M 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.