CHARLES FOLDS MITCHELL III MD
NPI 1962106476
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 28, 2023PECOS Enrolled
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-3395 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2024, Apr 12, 2023, Mar 28, 2023 (3 updates tracked since 2023).

About Charles Folds Mitchell Iii Md NPPES

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

CHARLES FOLDS MITCHELL III MD (NPI 1962106476) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962106476
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES FOLDS MITCHELL IIICredential: MD
Location Address1959 NE PACIFIC STSeattle, WA 98195-3309
Mailing Address1959 Ne Pacific Street Box 357115Seattle, WA 98195-7115 · (206) 598-3395
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1962106476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1959 NE PACIFIC ST, Seattle, WA 98195

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charles Folds Mitchell Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Nephrology)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Psychiatry & Neurology (Neurology)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Psychiatry & Neurology (Psychiatry)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Nurse Practitioner (Family)
1959 NE PACIFIC ST, BOX 356174
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST, BOX 357720
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST, BOX 356320 UNIV. OF WASH
SEATTLE, WA 98195
Nurse Practitioner (Family)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Emergency Medicine
1959 NE PACIFIC ST
SEATTLE, WA 98195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962106476, enumerated as an "individual" on March 28, 2023.

The provider is located at 1959 NE PACIFIC ST SEATTLE, WA 98195 and the phone number is (206) 598-3395.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.