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

Mitchell S McTavish, PA-C

Individual provider Physician Assistant · NPI 1386156891

Mitchell S McTavish, PA-C is a Physician Assistant in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2017.

Licensed in
CT
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 384-3145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6716 (CT)

Record details

NPI number1386156891
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2017
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address267 Grant St, Bridgeport, CT 06610-2805

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