JAMES SAMUEL MITCHENER MD NPI 1487641312

NPI Information

NPI: 1487641312
Provider Name: JAMES SAMUEL MITCHENER, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
1414 FRANKLIN RD SW
ROANOKE, VA
ZIP 24016
Phone: (540) 985-0116
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James Samuel Mitchener, MD is a plastic and reconstructive surgery surgery in Roanoke, VA. The provider is a surgeon who specializes in plastic and reconstructive surgery. James Samuel Mitchener, MD NPI is 1487641312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 FRANKLIN RD SW
ROANOKE, VA
ZIP 24016-217
Phone: (540) 985-0116
Fax: (540) 985-0215

The enumeration date for this NPI number is 10/5/2005 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	0101034846	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B77614	MEDICARE UPIN	VIRGINIA
2	007340702	MEDICAID	VIRGINIA
3	240000118	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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