MITCHELL VINCE PEEBLES DO
NPI 1730822024
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

NPI Status: Active since April 15, 2022

Contact Information

1301 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-3117

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About MITCHELL PEEBLES

This page provides the complete NPI Profile along with additional information for Mitchell Peebles, a primary care provider established in Fort Worth, Texas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1730822024 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1730822024
Provider Name
MITCHELL VINCE PEEBLES DO
Gender
Male
Entity Type
Individual
Location Address
1301 PENNSYLVANIA AVE FORT WORTH, TX 76104
Location Phone
(817) 250-3117
Mailing Address
313 TINKER TRL BURLESON, TX 76028
Mailing Phone
(214) 909-1003
Is Sole Proprietor?
No
Enumeration Date
04-15-2022
Last Update Date
04-15-2022
Code Navigator

A primary care provider (PCP) like Mitchell Peebles sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 313 Tinker Trl
    Burleson, TX 76028
    (214) 909-1003

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730822024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760162404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 6 + 2 + 4 + 0 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1730822024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912904061DR. MARY FRANCES ABRAHAM LYNCH M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE NEONATOLOGY OFFICES, PEDIATRIX MEDICAL GROUP OF TEXAS
FORT WORTH, TX 76104
(817) 250-2892
1457338659DR. JOSEPH G. CAERO M.D.
Individual
Anesthesiology1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1639156821MS. HEATHER SLOANE TOLBERT CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1609853894MS. CONSTANCE ANN HAHN CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1053398248MS. KARLA JO KINTZ CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1780661983MS. SHARON L NEBEN CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1952388159MS. SANDRA SHELTON SOLOMON CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1588641781MR. DAVID LILE STULL CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1669459897MR. GREGORY SCOTT PATE CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1487631610MR. DAVID JULIAN GOMEZ CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1013994110MS. PATRICIA L. GILLUM CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1033171764 RICHARD TURNER
Individual
Pediatrics1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 250-2890
1417912940MRS. MICHELLE HAFLEY LANSFORD NNP
Individual
Nurse Practitioner (Neonatal, Critical Care)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-2892
1932164316DR. RANDALL LEE GRUBBS M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE OFFICE OF NEONATOLOGY
FORT WORTH, TX 76104
(817) 882-2892
1639134018MISS KATHERINE NOELLE WAGNER RNC, MSN, NNP
Individual
Nurse Practitioner (Neonatal)1301 PENNSYLVANIA AVE NEONATOLOGY OFFICE
FORT WORTH, TX 76104
(817) 250-2892
1770548083MRS. MICHELLE MITCHELL SMITH RNC NNP
Individual
Nurse Practitioner (Neonatal)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-2892
1730144924DR. MICHAEL JOHN STEVENER M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-2892
1487619433MRS. SUSAN ELIZABETH WILKERSON RNC NNP MSN
Individual
Nurse Practitioner (Neonatal)1301 PENNSYLVANIA AVE NEONATAL OFFICE
FORT WORTH, TX 76104
(817) 250-2892
1447216122MRS. SUSAN ELIZABETH REINARZ RNC, MSN, NNP
Individual
Nurse Practitioner (Neonatal, Critical Care)1301 PENNSYLVANIA AVE NEONATOLOGY
FORT WORTH, TX 76104
(817) 250-2892
1205893369DR. SAMUEL JULIAO M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(682) 885-4283

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730822024, enumerated in the NPI registry as an "individual" on April 15, 2022

The provider is located at 1301 Pennsylvania Ave Fort Worth, Tx 76104 and the phone number is (817) 250-3117

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on April 15, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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