DAVID JOHN MAUTERER (NPI# 1306854963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306854963 |
| Entity Type | Individual |
| Full Name | DAVID JOHN MAUTERER |
| Credential | MD |
| Practice Address |
225 Medical Center Drive Suite 303 Paducah KY 42003-7915 |
| Mailing Address |
Po Box 636961 Cincinnati OH 45263-6961 |
| Practice Telephone | 2704429463 |
| Practice Fax Number | 2704422241 |
| Mailing Telephone | 5139815130 |
| Mailing Fax Number | 5139815015 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 46723 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 39195 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64521461 | 05 | |
| NC | 8955038 | 05 |
| Street Address |
225 MEDICAL CENTER DRIVE SUITE 303 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854037 | Rockne L. Brubaker | Otolaryngology | 225 Medical Center Drive, Suite 303, Paducah, KY 42003-7934 | 2005-07-08 |
| 1710056676 | Richard Dean Smith | Internal Medicine | 225 Medical Center Drive, Suite 201, Paducah, KY 42003 | 2006-11-07 |
| 1417026949 | Polly Lebuhn | Internal Medicine | 225 Medical Center Drive, Suite 201, Paducah, KY 42003 | 2006-11-07 |
| 1629147574 | Joseph Matt Pittard | Internal Medicine | 225 Medical Center Drive, Suite 201, Paducah, KY 42003 | 2006-11-07 |
| 1811066749 | Paul Joseph Grumley | Internal Medicine | 225 Medical Center Drive, Suite 201, Paducah, KY 42003 | 2006-11-07 |
| 1720169501 | Kenneth G. Cook | Family Medicine | 225 Medical Center Drive, Suite 208-c Dr. Kenneth C Cook, M.d., Psc, Paducah, KY 42003 | 2006-10-18 |
| 1083704480 | Purchase Neurology Psc | Psychiatry & Neurology | 225 Medical Center Drive, Suite 402, Paducah, KY 42003 | 2006-10-14 |
| 1063508745 | Keith A Cash | Specialist/Technologist, Other | 225 Medical Center Drive, Suite 406, Paducah, KY 42003 | 2006-10-04 |
| 1669495552 | Jeffrey L Riney | Family Medicine | 225 Medical Center Drive, Suite 209b, Paducah, KY 42003-7935 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1841501764 | Jason Ronald Cumbers | Surgery | 2603 Kentucky Ave Ste 105, Paducah, KY 42003-3815 | 2010-06-24 |
| 1609062306 | David J Musser | Surgery | 1532 Lone Oak Rd Ste 405, Paducah, KY 42003-7942 | 2007-09-18 |
| 1609918861 | Paducah Surgical Associates, Pllc | Surgery | 2603 Kentucky Ave Ste 304, Paducah, KY 42003-3829 | 2007-02-13 |
| 1265810444 | Kristen Nicole Williams | Surgery | 2601 Kentucky Ave Ste 201, Paducah, KY 42003-3825 | 2015-05-08 |
| 1932401890 | David M. West Md Psc | Surgery | 2601 Kentucky Ave, Suite 102, Paducah, KY 42003-3817 | 2010-11-29 |
| 1578791018 | Lindsey Jo Lund | Surgery | 225 Medical Center Dr, Suite 303, Paducah, KY 42003-7915 | 2009-06-23 |
| 1467617423 | Paige Nealy Quintero | Surgery | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2008-07-18 |
| 1134394745 | Lindita N Coku | Surgery | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2008-04-24 |
| Find all providers in PADUCAH | ||||
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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.