Charles Howard Mitchell
Surgery

Address: 200 Melville Dr, Pauls Valley, OK 73075-6600
Phone: 4052385555

Charles Howard Mitchell (NPI# 1356341721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1356341721
Entity Type Individual
Full Name Charles Howard Mitchell
Credential DO
Gender Male
Practice Address 200 Melville Dr
Pauls Valley
OK 73075-6600
Practice Telephone 4052385555
Practice Fax Number 4052386348
Mailing Address 200 Melville Dr
Pauls Valley
OK 73075-6600
Mailing Telephone 4052385555
Mailing Fax Number 4052386348
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2005-07-28
Last Update Date 2018-03-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208600000X Surgery Allopathic & Osteopathic Physicians 2248 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 100089620A MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1902186596 Charles Mitchell Counselor 4 Trescott Dr, Durham, NC 27703-3796 2011-08-26
1437195120 Charles Ray Mitchell Family Medicine 25 Airpark Ct, Greenville, SC 29607-6188 2006-06-21
1063409845 Charles Austin Mitchell Jr. Dermatology 206b Babb Dr, Lebanon, TN 37087-2508 2005-10-05
1245238567 Charles Austin Mitchell IIi Internal Medicine 5505 Edmondson Pike, 10, Nashville, TN 37211-5872 2005-07-11
1437152915 Charles D Mitchell Specialist 3500 I-30 Bldg C, Ste 101, Mesquite, TX 75150 2005-05-27
1902461445 Charles Branton Mitchell Counselor 305 Westfield Rd, Knoxville, TN 37919-4824 2019-05-09
1689199143 Charles Mitchell Counselor 86 Beach St, Westerly, RI 02891-2718 2017-08-07
1316347891 Charles Lester Talan Mitchell Physical Therapist 520 Palm Coast Pkwy Sw, St # 101, Palm Coast, FL 32137-4742 2014-09-03
1255744702 Charles Mitchell Physical Medicine & Rehabilitation 1100 Blythe Blvd, Charlotte, NC 28203-5814 2014-06-03
1821414772 Charles Mitchell Rehabilitation Practitioner 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 2014-03-14
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Physician Overview

NPI 1356341721
PAC ID by PECOS 8123142601
Professional Enrollment ID I20100907000237
Full Name Charles H Mitchell
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4052381170
Gender M
Medical School OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 1981
Primary Specialty GENERAL SURGERY
Secondary Specialties GENERAL PRACTICE
Group Practice PAC ID 1153468921
Number of Group Practice Members 420
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370156 PAULS VALLEY HOSPITAL AUTHORITY
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370020 MERCY HOSPITAL ADA
370047 MERCY HOSPITAL ARDMORE, INC
370008 NORMAN REGIONAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_238_1 Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 25%

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659913135 Daniel Surgical Care Inc Surgery 4827 S Western Ave, Oklahoma City, OK 73109-3835 2019-10-16
1376016329 Oklahoma Acute Care Surgical Specialists LLC Surgery 4016 E 27th St, Tulsa, OK 74114-5908 2019-01-02
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1588107957 Elias Cardiovascular Disease Pllc Surgery 1104 E State Highway 152 Unit 2, Mustang, OK 73064-5116 2016-12-02
1831540608 Eric Waetjen Surgery 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 2016-06-23
1164818993 Theresa Jackson Surgery 4629 E 13th Pl, Tulsa, OK 74112-6103 2015-04-08
1396159596 Paul Mcgaha II Surgery 10920 Sw 30th Ter, Yukon, OK 73099-0435 2014-06-16
1689017204 Peter Collister Surgery 921 Ne 13th St, Oklahoma City, OK 73104-5007 2013-04-12
1750629671 Memorial Hospital of Texas County Authority Surgery 1753 N Roosevelt St Ste 1, Guymon, OK 73942-2729 2013-01-28
1700123916 Laura Jane Holsey Surgery 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 2013-01-08
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Office Location

Street Address 200 MELVILLE DR
City PAULS VALLEY
State OK
Zip Code 73075-6600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871788208 Physicians & Surgeons of Pauls Valley Oklahoma Pllc Clinic/Center 200 Melville Dr, Pauls Valley, OK 73075-6609 2007-09-10
1669689824 Tammy K Hicks Do PC Family Medicine 200 Melville Dr, Pauls Valley, OK 73075-6609 2007-05-17
1427102474 Andrew Thyen Mdpa Family Medicine 200 Melville Dr, Pauls Valley, OK 73075-6609 2007-01-23
1508832205 Kent Thomas King Family Medicine 200 Melville Dr, Pauls Valley, OK 73075-6609 2006-02-23
1306819917 John Steven Moore Internal Medicine 200 Melville Dr, Pauls Valley, OK 73075-6609 2006-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194292490 Jennifer Lynn Reicosky Counselor 513 Willow, Pauls Valley, OK 73075 2018-10-25
1336467299 Fred Lee Mcginn Iv Counselor Atlc, 111 Arrowhead Dr., Pauls Valley, OK 73075 2010-05-17
1447435433 Amanda Marie Hammonds Physical Therapist 37915 Ecr 1530, Pauls Valley, OK 73075 2008-01-08
1255533873 Ladonna L.l. Lynnell Luckey Counselor 111 Arrowhead Drive, Adolescent Transitional Living Center, Pauls Valley, OK 73075 2007-06-05
1144369026 James Ray Ward Dentist 112 N Oak, Pauls Valley, OK 73075 2007-02-06
1700953247 Stanley Family Chiropractic PC Chiropractor 1555 W Grant, Pauls Valley, OK 73075 2006-11-29
1659458412 Woodlawn, LLC Respite Care 1413 S. Chickasha, Pauls Valley, OK 73075 2006-11-01
1689750457 Dana J Martin Dds PC Dentist 1600 Airline Road, Pauls Valley, OK 73075 2006-10-27
1609963800 State of Oklahoma Dept. of Human Services Pharmacy Rt 1 Box 44a, Pauls Valley, OK 73075 2006-10-07
1295828895 State of Oklahoma Dept. of Human Services Intermediate Care Facility, Mentally Retarded Rt. 1 Box 44-a, Pauls Valley, OK 73075 2006-10-02
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Competitor

Search similar providers

City PAULS VALLEY
Zip Code 73075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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