DR. JOHN C. MUTZIGER I (NPI# 1528041639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528041639 |
| Entity Type | Individual |
| Full Name | DR. JOHN C. MUTZIGER I |
| Credential | D.O. |
| Practice Address |
14884 Hwy 15 Decatur MS 39327 |
| Mailing Address |
Po Box 2106 Meridian MS 39302-2106 |
| Practice Telephone | 6016352258 |
| Practice Fax Number | 6016352259 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017039283 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10066 | MS | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
10066 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00011490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578105904 | John Charles Mutziger Jr. | Counselor | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2019-10-17 |
| Street Address |
14884 HWY 15 |
| City | DECATUR |
| State | MS |
| Zip Code | 39327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262610 | Krystle Monk | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2016-09-01 |
| 1346546777 | Cynthia B. Massey | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2011-02-02 |
| 1306146352 | Blair A. Comans | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2010-10-25 |
| 1578746285 | Brandi B Keith | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2007-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635087 | Elite Physical Therapy and Wellness, Inc. | Clinic/Center | 135 7th St, Decatur, MS 39327 | 2016-08-28 |
| 1073853107 | Morgan W Morris | Physical Therapy Assistant | 135 Seventh Street, Decatur, MS 39327 | 2013-02-27 |
| 1508078197 | Newton County Schools | Speech-Language Pathologist | 15305 Highway 15, Decatur, MS 39327 | 2007-05-04 |
| 1275752743 | Emily Boggan Thompson | Pharmacist | 95 West Broad Street, Decatur, MS 39327 | 2007-04-24 |
| 1578082251 | Brandi R Hurdle | Nurse Practitioner | 14884 Highway 15, Decatur, MS 39327 | 2017-09-14 |
| 1770963134 | Leticia Seydel | Counselor | 92 South 6th Avenue, Decatur, MS 39327 | 2015-06-01 |
| 1982004859 | James Cary Bradshaw | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2014-08-28 |
| 1033460878 | Laird Hospital, Inc. | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2012-09-19 |
| 1083879431 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 14884 Highway 15, Decatur, MS 39327 | 2008-07-25 |
| 1891051579 | Region Ten Commission On Mental Health | Clinic/Center | 92 South 6th Avenue, Decatur, MS 39327-0092 | 2012-04-06 |
| Find all providers in zip 39327 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170817 | Health-e LLC | Family Medicine | 1466 Country Squire Dr, Decatur, GA 30033-2414 | 2018-10-18 |
| 1548772536 | D'neka Colzie | Family Medicine | 2663 Easterly Pl, Decatur, GA 30035-4004 | 2017-10-30 |
| 1356862551 | Amruta Dutia | Family Medicine | 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 | 2017-06-28 |
| 1962938043 | Atlanta Functional & Integrative Medicine | Family Medicine | 2786 N Decatur Rd, Decatur, GA 30033-5928 | 2017-05-10 |
| 1194179341 | Alexander Bryant Mcqueen | Family Medicine | 2422 Danville Rd Sw Ste E, Decatur, AL 35603-4221 | 2016-04-13 |
| 1609259969 | Vitale Medical Inc | Family Medicine | 3290 Memorial Dr Ste B1, Decatur, GA 30032-3400 | 2015-07-06 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1881036879 | Brigitte B. Nahmias | Family Medicine | 114 Mckoy St, Decatur, GA 30030-4346 | 2013-07-19 |
| 1275976094 | Zachary James Shipp | Family Medicine | 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 | 2013-04-11 |
| 1790023497 | Philip Henry Sharkey | Family Medicine | 4666 E Powers Blvd, Decatur, IL 62521-2549 | 2013-01-30 |
| Find all providers in DECATUR | ||||
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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.