Provider Demographics
NPI:1154340602
Name:MITCHELL, MAX (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:2055 N HIGH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5575
Mailing Address - Country:US
Mailing Address - Phone:720-475-8730
Mailing Address - Fax:303-832-7297
Practice Address - Street 1:2055 N HIGH ST STE 260
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5575
Practice Address - Country:US
Practice Address - Phone:720-475-8730
Practice Address - Fax:303-832-7297
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31202208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01312024Medicaid
COCOA100541Medicare PIN