Idol Ray Mitchell is a Podiatrist in Macomb, Illinois. Idol Ray Mitchell practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Idol Ray Mitchell is 1508850694. The last update date is 2008-05-15.
Idol Ray Mitchell's current location address is 437 East Grant Street, Macomb, Illinois. You can contact this provider via phone number 3098373964 and fax number 3098373966. The mailing address for Idol Ray Mitchell is 437 East Grant Street, Macomb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Idol Ray Mitchell |
|---|---|
| Address | 437 East Grant Street, Macomb, Illinois |
| Phone Number | 3098373964 |
| Fax Number | 3098373966 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508850694 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 437 East Grant Street |
|---|---|
| City | Macomb |
| State | Illinois (IL) |
| Post Code | 614553352 |
| Phone Number | 3098373964 |
| Fax Number | 3098373966 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 016-004683 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4452210001 | DMERC | ||
| 480034728 | RAILROAD MEDICARE PROV # | ||
| 16004683 | IL | -- | |
| 214428 | IL | MEDICARE ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Idol Ray Mitchell by the Centers for Medicare & Medicaid Services?
The Idol Ray Mitchell has been issued the NPI (National Provider Identifier) 1508850694 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Idol Ray Mitchell's facilities are situated?
The facilities of Idol Ray Mitchell are physically located at the following address: 437 East Grant Street, Macomb, IL, 614553352.
What is the area of specialization for Idol Ray Mitchell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Idol Ray Mitchell is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508850694 to Idol Ray Mitchell?
The Idol Ray Mitchell received its 1508850694 assignment from the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the details pertaining to Idol Ray Mitchell last refreshed?
The information related to the Idol Ray Mitchell, including its address, specialty, and other relevant details, was last updated on 2008-05-15.