Provider Demographics
NPI:1275100851
Name:MITCHELL, ANDREW EVAN II (PA-C)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:EVAN
Last Name:MITCHELL
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6407 SUNNY SKY RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4273
Mailing Address - Country:US
Mailing Address - Phone:606-782-0261
Mailing Address - Fax:
Practice Address - Street 1:717 S 30TH ST
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1294
Practice Address - Country:US
Practice Address - Phone:740-522-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.007153RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty