Robert E Mitchell (NPI# 1164563631, PAC ID# 3375634231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1164563631 |
| PAC ID by PECOS | 3375634231 |
| Professional Enrollment ID | I20070807000217 |
| Full Name | Robert E Mitchell |
| Organization Legal Name | PROPHYLAXIS HEALTHCARE LLC |
| Address |
11911 S Memorial Dr Axis Healthcare Bixby Bixby OK 74008-2030 |
| Phone Number | 9189433790 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 3072784289 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 | 9189433790 | PROPHYLAXIS HEALTHCARE LLC |
| Organization Legal Name | PROPHYLAXIS HEALTHCARE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Hayman-hensley | Physician Assistant | Prophylaxis Healthcare LLC | 5505 E 51st St, Tulsa, OK 74135-7468 |
| James M Lackey | Family Medicine | Prophylaxis Healthcare LLC | 23 W Commercial St, Axis Healthcare Inola, Inola, OK 74036-3606 |
| John P Watson | Nurse Practitioner | Prophylaxis Healthcare LLC | 211 S Mill St, Axis Healthcare Pryor 2, Pryor, OK 74361-5221 |
| Bret A Hubbard | Family Medicine | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Tony Ho | Family Medicine | Prophylaxis Healthcare LLC | 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651 |
| Mary W Martin | Obstetrics/gynecology | Prophylaxis Healthcare LLC | 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259 |
| David Chorley | Family Medicine | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Elizabeth A Lee | Physician Assistant | Prophylaxis Healthcare LLC | 2431 Se Washington Blvd B, Axis Healthcare Bartlesville, Bartlesville, OK 74006-7259 |
| Jacklyn D Rose | Nurse Practitioner | Prophylaxis Healthcare LLC | 303 E Taft Ave, 3 Axis Healthcare Sapulpa, Sapulpa, OK 74066-5651 |
| Scott G Lilly | Hematology/oncology | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Street Address |
11911 S MEMORIAL DR AXIS HEALTHCARE BIXBY |
| City | BIXBY |
| State | OK |
| Zip | 74008-2030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bret A Hubbard | Family Medicine | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| David Chorley | Family Medicine | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Scott G Lilly | Hematology/oncology | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Robin Lynn Argyle | Nurse Practitioner | Prophylaxis Healthcare LLC | 11911 S Memorial Dr, Axis Healthcare Bixby, Bixby, OK 74008-2030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Aaron Lee | Nurse Practitioner | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Rachel Ireton | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Dianne R Briscoe | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Deborah D Holder | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Matthew J Lee | Nurse Practitioner | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Amber Nicole Gunther | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Margaret Kelley Post | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Catherine E Moyer | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Tom Kevin Staton | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Kevin Lee Green | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Find all physicians in zip 74008 | |||
| City | BIXBY |
| Zip Code | 74008 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | BIXBY + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Robert E 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.