SCOTT E MITCHELL PA-C NPI 1003864547

NPI Information

NPI: 1003864547
Provider Name: SCOTT E MITCHELL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
4015 GATEWAY BLVD
SUITE 2120
NEWBURGH, IN
ZIP 47630
Phone: (812) 842-0907
Get Directions

Scott E Mitchell, PA-C is a surgical physician assistant in Newburgh, IN. Scott E Mitchell, PA-C NPI is 1003864547. 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:

4015 GATEWAY BLVD
SUITE 2120
NEWBURGH, IN
ZIP 47630-925
Phone: (812) 842-0907
Fax: (812) 464-0536

The enumeration date for this NPI number is 5/5/2006 and was last updated on 5/3/2017.

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
1	363AS0400X	Physician Assistant	Surgical	10000118	INDIANA	Yes

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
1	532500W	MEDICARE PIN	INDIANA
2	R34345	MEDICARE UPIN
3	000000108475	OTHER		ANTHEM
4	9500121000	MEDICAID	KENTUCKY
5	179627	OTHER		HEALTHLINK

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: 5/5/2024

NPI Synchronization or Removal

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