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Deactivated NPI 1063565349 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Alton Mitchell , MD

Emergency Medicine • Astoria, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2007
NPI Deactivation Date January 23, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mitchell, MD was a registered Emergency Medicine practicing in Astoria, OR. Throughout an active medical career spanning 18 years, Dr. Mitchell provided care at the practice location at 2111 EXCHANGE ST until profile deactivation on 2025-01-23.

Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit with straightforward medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2111 Exchange St

Astoria, OR 971033329

Telephone 5033254321
Associated Practice Facility / Clinic
🏢 Columbia Lutheran Charities Facility NPI 1134146939

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Astoria, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Astoria, OR (1105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
30 30 $468.50 $114.37
99283 Emergency department visit with low level of medical decision making
26 25 $341.00 $67.21
99282 Emergency department visit with straightforward medical decision making
12 12 $222.50 $39.61

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OR MD15748

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Amy Grace , FNP

Nurse Practitioner - Family

NPI 1073948923

Family Nurse Practitioner

Dr. Jesse Loughlin , MD

Emergency Medicine

NPI 1114555786

Doctor of Medicine (M.D.)

Erik Williams , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134216542

Certified Registered Nurse Anesthetist

Jessie Higgins , MSW, CSWA

Social Worker - Clinical

NPI 1174921035

Master of Social Work, CSWA

Dr. Kendrick Lang , MD

Emergency Medicine

NPI 1285210153

Doctor of Medicine (M.D.)

Van Huynh

Nurse Anesthetist, Certified Registered

NPI 1285310060

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 23, 2025

Record deactivated on January 23, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2111 EXCHANGE ST, ASTORIA, OR 971033329 (Tel: 5033254321)

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Updated Business Mailing Address July 08, 2007

Registered at 12830 SE CREST DR, HAPPY VALLEY, OR 972366386 (Tel: 5037617877)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MITCHELL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #MD15748 in OR)

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Initial NPI Registration & Enumeration January 19, 2007

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: 1063565349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: July 08, 2007
Deactivation Date: January 23, 2025

Mailing Address

12830 Se Crest Dr

Happy Valley, OR 972366386

Phone: 5037617877

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.