Charles Howard Mitchell, DO | |
200 Melville Dr, Pauls Valley, OK 73075-6600 | |
(405) 238-5555 | |
(405) 238-6348 |
Full Name | Charles Howard Mitchell |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 43 Years |
Location | 200 Melville Dr, Pauls Valley, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356341721 | NPI | - | NPPES |
100089620A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2248 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifespring Home Care | Pauls valley, OK | Home health agency |
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
Holdenville General Hospital | Holdenville, OK | Hospital |
Norman Regional | Norman, OK | Hospital |
Mercy Hospital Ada | Ada, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Holdenville Hospital Authority | 6002031424 | 13 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Entity Name | Holdenville Hospital Authority |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140627001419 |
Entity Name | Holdenville Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140702001183 |
Mailing Address | Practice Location Address |
---|---|
Charles Howard Mitchell, DO 200 Melville Dr, Pauls Valley, OK 73075-6600 Ph: (405) 238-5555 | Charles Howard Mitchell, DO 200 Melville Dr, Pauls Valley, OK 73075-6600 Ph: (405) 238-5555 |