Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL S MCTAVISH, PA-C
ActiveMITCHELL S MCTAVISH, PA-C is a Physician Assistant healthcare provider located in BRIDGEPORT, Connecticut. NPI 1386156891 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1386156891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2017 (8.7999844715714 yrs)
- Last Updated
- Jan 23, 2025
- License
-
6716 (CT)
Practice Information
- Address
-
267 GRANT STBRIDGEPORT, CT, 066102805Browse CT providers · Browse ZIP 06610
- Phone
- 2033843145
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| JEFFREY MONTANO | PA. | 1447252192 |
| GARY SPINNER | PA | 1891760526 |
| BRUCE C GUSSIN | P.A. | 1326017211 |
| SHINU KURIAKOSE | PA-C | 1902875289 |
| RICHARD S MANSFIELD | PA-C | 1770546590 |
| GARY D COOK | PA-C | 1619931086 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.