MARK J. MITTENTHAL MD
NPI 1598739559
Surgery - Vascular Surgery in Atlanta, GA

Q: What is Mark Mittenthal's NPI number?

The NPI number for Mark Mittenthal is 1598739559. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Mark Mittenthal's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Mark Mittenthal was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2006

5669 PEACHTREE DUNWOODY RD, SUITE 100, ATLANTA, GA 30342(404) 256-0404(404) 847-0423 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark J. Mittenthal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK J. MITTENTHAL MD (NPI 1598739559) is an individual vascular surgery provider in Atlanta, Georgia, licensed in Georgia (017864) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1598739559

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameMARK J. MITTENTHALCredential: MD

Location Address5669 PEACHTREE DUNWOODY RD, SUITE 100Atlanta, GA 30342-1786

Mailing Address1838 American WayLawrenceville, GA 30043-6611 · (770) 995-7622 · Fax (770) 995-7854

Phone(404) 256-0404

Fax(404) 847-0423

Sole ProprietorNo

Enumeration DateFebruary 15, 2006

Last NPPES UpdateAugust 23, 2011

✔ NPI 1598739559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in GA · 017864

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

5669 PEACHTREE DUNWOODY RD, Atlanta, GA 30342

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Other Identifiers 3

Medicare UPIND30261GA

Medicare PIN$$$$$$$$$BGA

Medicaid000206005GA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METRO ATLANTA GASTROENTEROLOGY, LLC

Internal Medicine (Gastroenterology)

5669 PEACHTREE DUNWOODY RD, SUITE 210
ATLANTA, GA 30342

Fulton County (404) 255-4333

DR. BARRY J. MCCASLAND M.D.

Psychiatry & Neurology (Neurology)

5669 PEACHTREE DUNWOODY RD, STE 275
ATLANTA, GA 30342

Fulton County (404) 531-0334

MRS. MARCIA L LEWIS RN

Registered Nurse (Medical-Surgical)

5669 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342

Fulton County (404) 252-8377

NDOUMBANE SAMB

Nurse Practitioner (Family)

5669 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342

Fulton County (404) 542-9996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mittenthal's NPI number?

The NPI number for Mark Mittenthal is 1598739559. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Mark Mittenthal located?

Mark Mittenthal practices at 5669 Peachtree Dunwoody Rd Suite 100, Atlanta, GA 30342. The listed phone number is (404) 256-0404.

What is Mark Mittenthal's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Mark Mittenthal was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.