Dr. Charles D Mitchell
Pediatrics (Pediatric Infectious Diseases)

Address: 1601 Nw 12th Ave, Miami, FL 33101-6960
Phone: 3052434029

Dr. Charles D Mitchell (NPI# 1982633269) 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) 1982633269
Entity Type Individual
Full Name Dr. Charles D Mitchell
Credential MD
Gender Male
Practice Address 1601 Nw 12th Ave
Miami
FL 33101-6960
Practice Telephone 3052434029
Practice Fax Number 3052438470
Mailing Address 1601 Nw 12th Ave
Miami
FL 33136-1005
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-30
Last Update Date 2013-01-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2080P0208X Pediatrics · Pediatric Infectious Diseases Allopathic & Osteopathic Physicians ME50417 FL

Other Provider Identifier

State Identifier Issuer Type Code
FL 0451061-00 MEDICAID

Other Providers CHARLES MITCHELL

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
1356341721 Charles Howard Mitchell Surgery 200 Melville Dr, Pauls Valley, OK 73075-6600 2005-07-28
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 22510 Alberta St, Oneida, TN 37841-3802 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

Physician Overview

NPI 1982633269
PAC ID by PECOS 2769678911
Professional Enrollment ID I20101130000571
Full Name Charles D Mitchell
Organization Legal Name UNIVERSITY OF MIAMI
Phone Number 3052434029
Gender M
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1977
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialties INFECTIOUS DISEASE
Group Practice PAC ID 4183523210
Number of Group Practice Members 37
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 1601 NW 12TH AVE
City MIAMI
State FL
Zip Code 33101-6960

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932171196 Lesley Jacqueline Smith Pediatrics 1601 Nw 12th Ave, Mailman Center 3005a, Div Peds Gi & Nutriton, Miami, FL 33136-1005 2006-02-02
1750870341 Cara Axelrod Dietitian, Registered 1601 Nw 12th Ave, Miami, FL 33136-1005 2018-05-09
1447750260 Sadie Vega-velasquez Speech-Language Pathologist 1601 Nw 12th Ave, 5065, Miami, FL 33136 2018-02-19
1457872749 Daniela Marie Berrios Speech-Language Pathologist 1601 Nw 12th Ave, Miami, FL 33136-1005 2017-06-28
1750815056 Allison Weinstein Psychologist 1601 Nw 12th Ave, 4018a, Miami, FL 33136-1005 2017-04-13
1740714948 Eileen Matias Davis Psychologist 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 2017-04-13
1902350838 Sandra Ibanez Counselor 1601 Nw 12th Ave, Miami, FL 33136-1005 2016-08-09
1538512660 Brittani Houston Audiologist 1601 Nw 12th Ave, Miami, FL 33136-1005 2016-07-13
1962863118 Awilda Gonzalez Developmental Therapist 1601 Nw 12th Ave, Miami, FL 33136-1005 2016-03-16
1134588155 Telvys Morales Developmental Therapist 1601 Nw 12th Ave, Miami, FL 33136-1005 2016-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750888988 Manuel Fernondo Antun Fernandez Student in an Organized Health Care Education/Training Program 1611 Nw 12th Avenue Et 2169, Miami, FL 33101 2018-04-13
1346463056 University of Miami Psychologist 1601 Nw 12th Ave., Miami, FL 33101 2007-04-11
1538170147 Carla Roscio Cordova Anesthesiology 1611 Nw 12th Ave, C302, University of Miami, Department of Anesthesiology, Miami, FL 33101 2006-08-10
1588671341 Angela Fisher Audiologist 1666 Nw 10 Ave, Miami, FL 33101 2006-08-02
1083644421 Keyvan Nouri Dermatology 1475 Nw 12 Ave, Box 016960, Miami, FL 33101 2006-07-03
1689110785 Jennifer Warne Optometrist 500 Nw 2nd Ave Unit 10214, Miami, FL 33101-0119 2017-01-12
1922022011 Rabah E Laoun Obstetrics & Gynecology 1611 Nw 12th, Miami, FL 33101-6960 2006-07-26
1740213958 Adrien A Eshraghi Otolaryngology 1666 Nw 10 Ave, Box (m851), Miami, FL 33101-6960 2006-07-09
1922058452 University of Miami Internal Medicine 1029 Nw 15th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-05-12
1790740058 Stephen N Symes Internal Medicine 1611 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-04-19
Find all providers in zip 33101

Taxonomy Information

Taxonomy Code 2080P0208X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Infectious Diseases

Taxonomy Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558580522 Luis A Blanco Pediatrics 8752 Sw 8th St, Miami, FL 33174-3201 2007-04-25
1528281409 Ivan Alberto Gonzalez Pediatrics 1580 N.w. 10th Avenue, Locator Code D4-4, Miami, FL 33136 2007-04-10
1710047121 Alfredo Ivan Murciano Pediatrics 6537 Coral Way, Miami, FL 33155-1843 2006-12-08
1568458834 Pablo M Laufer Pediatrics 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 2005-09-22
1922552876 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Suite 206, Miami, FL 33155 2016-08-09
1134512064 Arsj Pediatrics Infectious Diseases Pediatrics 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 2015-03-17
1437292521 Pediatric Infectious Diseases LLC Pediatrics 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 2007-02-15
1831256809 Antonia Rosa Sanjorge Pediatrics 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 2007-01-02
1396770244 Gwendolyn B Scott Pediatrics 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-07-11
1932139391 Delia M Rivera Hernandez Pediatrics 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-07-03
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33101

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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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