JOHNATHAN M MITCHELL DO NPI 1871235648

NPI Information

  • NPI: 1871235648
  • Provider Name: JOHNATHAN M MITCHELL, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 S TELEPHONE RD STE 201
    MOORE, OK
    ZIP 73160
  • Phone: (405) 307-1000

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NPI Details

Johnathan M Mitchell, DO is a family medicine in Moore, OK with 4 years of experience. 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. Johnathan M Mitchell, DO NPI is 1871235648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduation Year:2022

The provider's business location address is:

700 S TELEPHONE RD STE 201
MOORE, OK
ZIP 73160-538
Phone: (405) 307-1000

The NPI 1871235648 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 4/11/2022 and was last updated on 6/16/2025.

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
1207Q00000XFamily Medicine8730OKLAHOMAYes

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: 11/21/2025

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