ANTIGONE EMILY TIPTON MITCHELL MD NPI 1083242101

NPI Information

NPI: 1083242101
Provider Name: ANTIGONE EMILY TIPTON MITCHELL, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-3245
Get Directions

Antigone Emily Tipton Mitchell, MD is a diagnostic radiology radiology in Grand Rapids, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Antigone Emily Tipton Mitchell, MD NPI is 1083242101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI
ZIP 49503-560
Phone: (616) 391-3245

The NPI 1083242101 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 enumeration date for this NPI number is 4/1/2020 and was last updated on 5/26/2022.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	2085R0202X	Radiology	Diagnostic Radiology	4351046565	MICHIGAN	Yes

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

NPI Synchronization or Removal

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