ELLIS FRANK MUTHER (NPI# 1669411351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669411351 |
| Entity Type | Individual |
| Full Name | ELLIS FRANK MUTHER |
| Credential | MD |
| Practice Address |
1315 S Glenburnie Rd C 11 New Bern NC 28562-2613 |
| Practice Telephone | 2526375300 |
| Practice Fax Number | 2526377161 |
| Mailing Telephone | 2526375300 |
| Mailing Fax Number | 2526377161 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
16534 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC | 61638 | 01 |
| NC | 8961638 | 05 |
| Street Address |
1315 S GLENBURNIE RD C 11 |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952699324 | Heather R Cameron | Counselor | 1315 S Glenburnie Rd, New Bern, NC 28562-2613 | 2011-07-19 |
| 1396880399 | Priscilla Yvonne Blevins | Social Worker | 1315 S Glenburnie Rd, Suite C-13, New Bern, NC 28562-2613 | 2007-02-20 |
| 1417006941 | Julie Rowe | Psychologist | 1315 S Glenburnie Rd, Suite 19, New Bern, NC 28562-2613 | 2007-01-10 |
| 1346324381 | Bern Counseling Group, LLC | Clinic/Center | 1315 S Glenburnie Rd, Ste. D-17, New Bern, NC 28562-2613 | 2006-10-25 |
| 1083798813 | John Farrar | Psychologist | 1315 S Glenburnie Rd, Ste. D-17, New Bern, NC 28562-2613 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114026804 | Grope De Procrurir Gurdjieff, P.a. | Psychiatry & Neurology | 507 Pollock Street, Suite 2, New Bern, NC 28562 | 2006-09-21 |
| 1306830286 | Michael Phillip Apostolou | Psychiatry & Neurology | 507 Pollock St, Suite 2, New Bern, NC 28562-5647 | 2005-09-07 |
| 1659364156 | John Griffith Steel | Psychiatry & Neurology | 2861 Trent Rd, New Bern, NC 28562-2029 | 2005-08-30 |
| 1407157142 | Carolinaeast Physicians | Psychiatry & Neurology | 2604 Dr Martin Luther King Jr Blvd, Suite C, New Bern, NC 28562 | 2010-11-11 |
| 1255662052 | Coastal Carolina Health Care, Pa | Psychiatry & Neurology | 2861 Trent Rd, New Bern, NC 28562-2029 | 2010-01-19 |
| 1619195781 | Atlantic Neurology, PC | Psychiatry & Neurology | 3515 Trent Rd, Suite 10, New Bern, NC 28562-2220 | 2007-04-23 |
| 1740365063 | Zhicheng Li | Psychiatry & Neurology | 702 Newman Rd, New Bern, NC 28562-5238 | 2006-10-26 |
| 1770551574 | Catherine Mary Hagerty | Psychiatry & Neurology | 702 Newman Rd, New Bern, NC 28562-5238 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574706 | Nandigam Neurology, LLC | Psychiatry & Neurology | 10 Doctors Cir Ste 1, Supply, NC 28462-4218 | 2020-09-30 |
| 1033738299 | Catawba Valley Medical Group Inc | Psychiatry & Neurology | 3246 6th Ave Se Ste 101, Hickory, NC 28602-8335 | 2020-04-08 |
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1952886582 | John Messenheimer | Psychiatry & Neurology | 55 Hermitage Ln, Moncure, NC 27559-9670 | 2018-09-28 |
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1811417835 | Arvind Muralimohan Gomadam | Psychiatry & Neurology | 1492 Rymco Dr, Winston Salem, NC 27103 | 2017-06-21 |
| 1932637568 | Irena Dujmovic Basuroski | Psychiatry & Neurology | 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 | 2017-05-26 |
| 1750838702 | Zuleyma Enid Toledo-nieves | Psychiatry & Neurology | Unc Hospitals Department of Neurology, 170 Manning Drive, Cb#7025, Chapel Hill, NC 27599-7025 | 2016-09-07 |
| 1659722593 | Arfeen Geriatric Care Pllc | Psychiatry & Neurology | 2961 Crouse Ln Ste D, Burlington, NC 27215-8833 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
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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.