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DR. ELLEN LIDE MITCHELL MD NPI 1952669186


NPI Information

NPI: 1952669186
Provider Name: DR. ELLEN LIDE MITCHELL, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

Organization: STC PEDIATRICS LLC

PECOS Registration: Yes

Address:
160 E ERIE AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-6778
Get Directions

DR. Ellen Lide Mitchell, MD is a pediatric gastroenterology pediatrics in Philadelphia, PA with 12 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Ellen Lide Mitchell, MD NPI is 1952669186. 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:

160 E ERIE AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-6778
Fax: (215) 427-6782

The NPI 1952669186 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 4/25/2012 and was last updated on 6/29/2018.


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
1208000000XPediatricsMD455417PENNSYLVANIANo
22080P0206XPediatricsPediatric GastroenterologyMD455417PENNSYLVANIAYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

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.