Justin B Mutter (NPI# 1548606866, PAC ID# 4082857701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548606866 |
| PAC ID by PECOS | 4082857701 |
| Professional Enrollment ID | I20171011000479 |
| Full Name | Justin B Mutter |
| Organization Legal Name | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP |
| Address |
674 Hillsdale Dr Charlottesville VA 22901-1799 |
| Phone Number | 4349641333 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 4880590728 |
| Number of Group Practice Members | 1193 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490009 | UNIVERSITY OF VIRGINIA MEDICAL CENTER |
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1215 Lee St, Fl 4, Charlottesville, VA 22908-0816 | 4349245321 | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP |
| 674 Hillsdale Dr, Charlottesville, VA 22901-1799 | 4349641333 | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP |
| Organization Legal Name | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP |
| Physicians | 1228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren J Guffey | Dermatology | University of Virginia Physicians Group | 1221 Lee St, Charlottesville, VA 22908-0001 |
| Matthew Kucia | Obstetrics/gynecology | University of Virginia Physicians Group | 633 Sunset Clinic A C, Culpeper, VA 22701 |
| Anthony Marino | Internal Medicine | University of Virginia Physicians Group | 661 University Ln, Orange, VA 22960-2243 |
| Jennifer Doorey | Obstetrics/gynecology | University of Virginia Physicians Group | 2955 Ivy Rd, Suite 304, Charlottesville, VA 22903-9353 |
| Maria C Badaracco | Internal Medicine | University of Virginia Physicians Group | 661 University Ln E, Orange, VA 22960-2243 |
| Aliya Laws Wilson | Family Practice | University of Virginia Physicians Group | 1480 N Main St, Suite A, Madison, VA 22727-3093 |
| James M Scheiman | Gastroenterology | University of Virginia Physicians Group | 500 Monroe Ln, Charlottesville, VA 22903-3318 |
| Sook C Hoang | General Surgery | University of Virginia Physicians Group | Lee St and 11th St Sw, Charlottesville, VA 22908 |
| Patrick Ogurick | Pediatric Medicine | University of Virginia Physicians Group | 16244 Bennett Rd, Culpeper, VA 22701-4630 |
| Nathaniel A Arnatt | Nurse Practitioner | University of Virginia Physicians Group | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 |
| Street Address |
674 HILLSDALE DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip | 22901-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie R Archbald-pannone | Geriatric Medicine | University of Virginia Physicians Group | 674 Hillsdale Dr, Charlottesville, VA 22901-1799 |
| Seki A Balogun | Geriatric Medicine | University of Virginia Physicians Group | 674 Hillsdale Dr, Charlottesville, VA 22901-1799 |
| Patricia Leonard Higgins | Nurse Practitioner | Jefferson Area Board for Aging | 674 Hillsdale Dr, Charlottesville, VA 22901-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brycen A Hudock | Chiropractic | 355 W Rio Rd, Suite 106, Charlottesville, VA 22901-1360 | |
| David Chesler | Internal Medicine | Privia Medical Group,llc | 3025 Berkmar Dr, Suite 1, Charlottesville, VA 22901-1456 |
| Todd J Long | Ophthalmology | Eyeone, Plc | 620 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Ashley H Schauer | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Robert L Stokes | Family Medicine | 674 Berkmar Cir, Charlottesville, VA 22901-1464 | |
| Andrew S Collins | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Rita Digrazia Page | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Ellen C Sanders | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Sara E Hawken | Nurse Practitioner | Albemarle Dermatology Associates, LLC | 3350 Berkmar Dr, Charlottesville, VA 22901-1491 |
| Hannah P Pearce | Dermatology | Albemarle Dermatology Associates, LLC | 3350 Berkmar Dr, Charlottesville, VA 22901-1491 |
| Find all physicians in zip 22901 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHARLOTTESVILLE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.