Jerrod Carl Mitzel in Salem - Family Medicine
Jerrod Carl Mitzel - NPI 1700046596
Jerrod Carl Mitzel is a Family Medicine in Salem, Oregon. Jerrod Carl Mitzel practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerrod Carl Mitzel is 1700046596. The last update date is 2017-04-06.
Jerrod Carl Mitzel's current location address is 2485 12th St Se, Salem, Oregon. You can contact this provider via phone number 5033638047 and fax number 5033636571. The mailing address for Jerrod Carl Mitzel is 2485 12th St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerrod Carl Mitzel |
|---|---|
| Address | 2485 12th St Se, Salem, Oregon |
| Phone Number | 5033638047 |
| Fax Number | 5033636571 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700046596 |
|---|---|
| Provider Enumeration Date | 2008-06-15 |
| Last Updated Date | 2017-04-06 |
Provider Mailing Address Detail
| Address | 2485 12th St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973022151 |
| Phone Number | 5033638047 |
| Fax Number | 5033636571 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 57010891 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 276275 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerrod Carl Mitzel by the Centers for Medicare & Medicaid Services?
The Jerrod Carl Mitzel has been assigned the NPI (National Provider Identifier) 1700046596 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerrod Carl Mitzel is located?
The Jerrod Carl Mitzel is situated at the following address: 2485 12Th St Se, Salem, OR, 973022151.
What is Jerrod Carl Mitzel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerrod Carl Mitzel is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700046596 to Jerrod Carl Mitzel?
The Jerrod Carl Mitzel received its 1700046596 assignment from the Centers for Medicare & Medicaid Services on 2008-06-15.
When was the Jerrod Carl Mitzel's information last updated?
The Jerrod Carl Mitzel's information was last updated on 2017-04-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC