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MR. MARK EDWARD MITCHELL M.D. NPI 1689634479


NPI Information

NPI: 1689634479
Provider Name: MR. MARK EDWARD MITCHELL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2960 TONGASS AVENUE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 228-4900
Get Directions

MR. Mark Edward Mitchell, M.D. is a family medicine in Ketchikan, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Mark Edward Mitchell, M.D. NPI is 1689634479. 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:

2960 TONGASS AVENUE
KETCHIKAN, AK
ZIP 99901-742
Phone: (907) 228-4900
Fax: (800) 852-3264

The NPI 1689634479 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.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/1/2016.


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
1207Q00000XFamily Medicine2681761205UTAHYes

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
152588084MEDICAIDNEW MEXICO
2F72986MEDICARE UPINUTAH
3D0289MEDICAIDUTAH
48HK297MEDICARE PIN
5314804MEDICAIDARIZONA
682071365MEDICAIDCOLORADO
7006486015MEDICARE ID-TYPE UNSPECIFIEDUTAH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.