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ELIZABETH MITTENDORF M.D. NPI 1831288596


NPI Information

NPI: 1831288596
Provider Name: ELIZABETH MITTENDORF, M.D.
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

PECOS Registration: Yes

Address:
75 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 632-2174
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Elizabeth Mittendorf, M.D. is a surgical oncology surgery in Boston, MA with 28 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Elizabeth Mittendorf, M.D. NPI is 1831288596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1996

The provider's business location address is:

75 FRANCIS ST
BOSTON, MA
ZIP 02115-110
Phone: (617) 632-2174

The NPI 1831288596 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of breast (HCPCS:19301)

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/10/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical Oncology273553MASSACHUSETTSYes
22086X0206XSurgerySurgical OncologyM1941TEXASNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1177303801MEDICAIDTEXAS

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: 4/28/2024

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