Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerrod Carl Mitzel, MD

Individual provider Family Medicine Physician · NPI 1700046596

Dr. Jerrod Carl Mitzel, MD is a Family Practice in Salem, Oregon. Qualified in 2005, 21 years ago. Practices with Salem Health, a 479-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Ohio and Oregon.

Years since qualifying
21
Licensed in
AZ, OH, OR
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2485 12th St SE
Salem, OR 97302-2151
Phone: (503) 363-8047
Fax: (503) 363-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD28732 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 57010891 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 40749 (AZ)

Record details

NPI number1700046596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2008
Last updated in NPPESApril 6, 2017
Mailing address2485 12th St Se, Salem, OR 97302-2151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Salem