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Active NPI 1184449613 Individual Practitioner Male Practitioner

Kameron Mitchell , CPO

Prosthetist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Kameron Mitchell, CPO is a registered healthcare professional specializing in Prosthetist in Fort Wayne, IN. Practice services are available at 5505 COVENTRY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5505 Coventry Ln

Fort Wayne, IN 468047144

Telephone 3175226380
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Fort Wayne, IN (25 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-19
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 19, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2024

Registered at 5505 COVENTRY LN, FORT WAYNE, IN 468047144 (Tel: 3175226380)

📍
Updated Business Mailing Address November 19, 2024

Registered at 3236 COPPER HILL RUN, FORT WAYNE, IN 468043425 (Tel: 3203336389)

👤
Provider Name / Credentials Updated November 19, 2024

Recorded as KAMERON MITCHELL, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2024

Orthotist

🟢
Initial NPI Registration & Enumeration November 19, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184449613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2024
Last Update: November 19, 2024
Sole Proprietor: No

Mailing Address

3236 Copper Hill Run

Fort Wayne, IN 468043425

Phone: 3203336389

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.