MITCHELL HEALTHCARE ASSOCIATES NPI 1669462602

NPI Information

  • NPI: 1669462602
  • Provider Name: MITCHELL HEALTHCARE ASSOCIATES
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: KENNETH MITCHELL
  • Address: 3800 WOODWARD AVE
    STE 812
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 831-9269

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NPI Details

MITCHELL HEALTHCARE ASSOCIATES is a foot and ankle surgery podiatrist in Detroit, MI. MITCHELL HEALTHCARE ASSOCIATES NPI is 1669462602. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenneth Mitchell.

The provider's business location address is:

3800 WOODWARD AVE
STE 812
DETROIT, MI
ZIP 48201-061
Phone: (313) 831-9269
Fax: (313) 831-9274

The provider's authorized official is Pamela H Stuart .
The authorized official title is Manager and has the following contact phone number (313) 831-9264.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 8/22/2020.

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
1213ES0103XPodiatristFoot & Ankle Surgery5901001869MICHIGANYes

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 Other Provider Identifier Issuer
13507405MEDICAIDMICHIGAN
23507405OTHERMOLINA
3KM001869OTHERMICHIGANBCBSM

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: 3/30/2025

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