National Provider Identifier

Michael D Mitchell, M.D.

Michael D Mitchell, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Jamestown, NY and a listed phone number of (716) 664-8604.

NPI 1922082197Jamestown, NYFamily Medicine Physician

Profile Overview

NPI
1922082197
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
December 01, 2005
Last Updated
April 03, 2019

Practice Location

  • 51 Glasgow Ave.
  • Jamestown, NY 14701

Phone: (716) 664-8604

Mailing Address

  • 5945 Damon Hill RD
  • Sinclairville, NY 14782-9728

Specialties

  • Family Medicine Physician (207Q00000X)
  • Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X)
Full Record
NPI
1922082197
Entity Type
Individual
Last Name
Mitchell
First Name
Michael
Middle Name
D
Credential
M.D.
Mailing Street Address
5945 Damon Hill RD
Mailing City
Sinclairville
Mailing State
NY
Mailing ZIP Code
14782-9728
Mailing Country
US
Mailing Phone
(716) 397-0814
Mailing Fax
(716) 338-1575
Practice Street Address
51 Glasgow Ave.
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701
Practice Country
US
Practice Phone
(716) 664-8604
Enumeration Date
December 01, 2005
Last Updated
April 03, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X)
Other Identifiers
00902103 (NY)