Kristofer J. Mitchell in Springfield - Surgery
Kristofer J. Mitchell - NPI 1205040664
Kristofer J. Mitchell is a Surgery in Springfield, Illinois. Kristofer J. Mitchell practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kristofer J. Mitchell is 1205040664. The last update date is 2022-01-31.
Kristofer J. Mitchell's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Kristofer J. Mitchell is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristofer J. Mitchell |
|---|---|
| Address | 1025 S 6th St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205040664 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2022-01-31 |
Provider Mailing Address Detail
| Address | 1025 S 6th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36120394 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36120394 | IL | -- | |
| R01662 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kristofer J. Mitchell?
The Kristofer J. Mitchell has been issued the NPI (National Provider Identifier) 1205040664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kristofer J. Mitchell's physical address?
The Kristofer J. Mitchell is physically located at 1025 S 6Th St, in the city of Springfield, IL, with the postal code 627032403.
What is Kristofer J. Mitchell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristofer J. Mitchell is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205040664 to Kristofer J. Mitchell?
The Kristofer J. Mitchell received its 1205040664 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date were the details pertaining to Kristofer J. Mitchell last refreshed?
The information related to the Kristofer J. Mitchell, including its address, specialty, and other relevant details, was last updated on 2022-01-31.
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