GEORGE K MUTEMA (NPI# 1093794018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093794018 |
| Entity Type | Individual |
| Full Name | GEORGE K MUTEMA |
| Credential | M.D. |
| Practice Address |
375 Dixmyth Ave Cincinnati OH 45220-2475 |
| Mailing Address |
Po Box 632242 Cincinnati OH 45263-2242 |
| Practice Telephone | 5138721400 |
| Mailing Telephone | 8005036254 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2010-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35077898 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200453110D | 05 | |
| IN | 200453110E | 05 | |
| RAILROAD MEDICARE | P00038444 | 01 | |
| IN | 200453110C | 05 | |
| KY | 64026404 | 05 | |
| OH | 2183480 | 05 | |
| IN | 200453110A | 05 | |
| IN | 200453110F | 05 |
| Street Address |
375 DIXMYTH AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853203 | Jonathan A Bernfeld | Psychiatry & Neurology | 375 Dixmyth Ave, Cincinnati, OH 45220 | 2005-07-07 |
| 1275140006 | Rebekah Alyson Pike | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-09-25 |
| 1033721147 | Joedaycya Sanders | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-19 |
| 1609487040 | Sarthak Aryal | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-10 |
| 1922619345 | Vivek Sharma | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-10 |
| 1821608159 | Mohamad El Labban | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-02 |
| 1891311700 | Kelsey Leigh Prickel | Nurse Anesthetist, Certified Registered | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-17 |
| 1891310819 | Eric Blake Slusher | Registered Nurse | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-15 |
| 1063037521 | Jena Michelle Bolte | Registered Nurse | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-10 |
| 1851910921 | Guillermo Alexander Asmar Vargas | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699186684 | Jenna Purdy | Pathology | 234 Goodman St Rm 110, Cincinnati, OH 45219-2364 | 2014-05-13 |
| 1295068575 | Bernard L Kasten Jr. | Pathology | 8622 Twilight Tear Ln, Cincinnati, OH 45249-1382 | 2009-09-17 |
| 1932359973 | Jerzy Waclaw Stanek | Pathology | 3333 Burnet Ave., Ml 1010, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039 | 2008-09-26 |
| 1528214012 | Matthew Bramlage | Pathology | 4142 Club View Dr, Cincinnati, OH 45209-1415 | 2008-08-15 |
| 1700909322 | Susan Brokaw | Pathology | 5340 Miami Rd, Cincinnati, OH 45243-3920 | 2007-04-09 |
| 1437179249 | Kathryn Wikenheiser-brokamp | Pathology | 3333 Burnet Ave # Mlc1010, Department of Pathology and Laboratory Medicine, Cincinnati, OH 45229-3026 | 2006-07-21 |
| 1992784839 | Cynthia D Westermann | Pathology | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 | 2006-01-10 |
| 1750367595 | Sudha Arun Mehta | Pathology | 3101 Burnet Avenue, Clement Health Center Std Clinic, Cincinnati, OH 45229-3098 | 2005-12-22 |
| 1164084661 | Nicola Jing | Pathology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2019-07-03 |
| 1497316988 | Red Bank Pathology Services, LLC | Pathology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2019-06-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.