PATRICK MURATHIMI MUTUGU (NPI# 1588205231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588205231 |
Entity Type | Individual |
Full Name | PATRICK MURATHIMI MUTUGU |
Credential | PMHNP-BC |
Practice Address |
707 N Michigan St South Bend IN 46601-1067 |
Mailing Address |
702 Chesterfield South Dr Indianapolis IN 46227-1604 |
Practice Telephone | 5746478470 |
Practice Fax Number | 5746478475 |
Mailing Telephone | 3179872298 |
Enumeration Date | 2019-10-03 |
Last Update Date | 2019-10-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
28230548A | IN | Nursing Service Providers |
Street Address |
707 N MICHIGAN ST |
City | SOUTH BEND |
State | IN |
Zip Code | 46601-1067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619971488 | Thomas Edward Capannari | Pediatrics | 707 N Michigan St, Ste 316, South Bend, IN 46601 | 2005-06-09 |
1952969115 | Caitlin Casey | Student in an Organized Health Care Education/Training Program | 707 N Michigan St, South Bend, IN 46601-1067 | 2019-06-03 |
1033520101 | Oluyinka Grace Osunnuga | Nurse Practitioner | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2014-05-12 |
1003172719 | Beth Ann Hayden | Nurse Practitioner | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2012-04-06 |
1447520291 | Advanced Center for Cardiothoracic Surgery LLC | Clinic/Center | 707 N Michigan St, 503, South Bend, IN 46601-1067 | 2012-01-11 |
1679707012 | Narendra Pratap Singh | Psychiatry & Neurology | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2009-05-13 |
1275705691 | Jagadeesh Reddy | Psychiatry & Neurology | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2008-03-26 |
1457536336 | Cardiothoracic Surgery, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 707 N Michigan St, Suite 501, South Bend, IN 46601-1067 | 2008-01-09 |
1508080714 | Duane D Flaig | Nurse Practitioner | 707 N Michigan St, Ste 400, South Bend, IN 46601-1067 | 2007-04-12 |
1891816559 | Pediatric Cardiology of Michiana, PC | Pediatrics | 707 N Michigan St, Suite 316, South Bend, IN 46601-1067 | 2007-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
Find all providers in zip 46601 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467577049 | Lavearn May | Registered Nurse | 308 E. 21st Avenue, Gary, IN 46407 | 2007-03-20 |
1740224401 | Connie Jo Gambrel | Registered Nurse | 3924 S Village Drive, New Palestine, IN 46163 | 2006-06-15 |
1609817808 | Victoria Lynn Eades | Registered Nurse | 701 Inglewood Drive, Crawfordsville, IN 47933 | 2006-06-09 |
1518425099 | Josie Jean Dean | Registered Nurse | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2019-03-04 |
1164729174 | Joyce Ann Briggs | Registered Nurse | 898 E Main St, Greenwood, IN 46143-1407 | 2011-02-28 |
1356585863 | Kathryn Lynn Settles | Registered Nurse | 5602 Caito Dr, Indianapolis, IN 46226-1346 | 2009-04-28 |
1881727824 | Marsha Mae Cummins | Registered Nurse | 2134 Mary Sherman Dr, Sullivan, IN 47882-7625 | 2007-03-13 |
1659315315 | Katherine Monica Kelly | Registered Nurse | 703 Pro-med Ln, Suite 200, Carmel, IN 46032-5317 | 2006-06-15 |
1295779825 | Elizabeth Peck | Registered Nurse | 8320 Madison Ave, Indianapolis, IN 46227 | 2006-06-15 |
City | SOUTH BEND |
Zip Code | 46601 |
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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.