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NPI Code Detail

MEDICARE: DR. MICHAEL SHAWN MITCHELL M.D.

MEDICARE: DR. MICHAEL SHAWN MITCHELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician021096TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00188207OTHERTNRAILROAD
24016565OTHERTNBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972543007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SHAWN MITCHELL M.D.
Provider Business Mailing Address
First Line : PO BOX 634706
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9352 PARK WEST BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4325
Country : US
Telephone Number : 865-373-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 11/29/2007

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