Physician Compare National (NPI:1912972191)

HEALTHCARE PROVIDER: JOHN C MITCHELL II M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912972191
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254323710
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050415000872
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MITCHELL
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	METHODIST FREMONT HEALTH
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7911258520
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	59
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	450 E 23RD ST
	Group Practice or individual's line 1 address
City	FREMONT
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	680252387
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4027211610
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	280040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE NEBRASKA METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	280130
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI HEALTH LAKESIDE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y