WALTER PETER MUTTER (NPI# 1104895556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104895556 |
| Entity Type | Individual |
| Full Name | WALTER PETER MUTTER |
| Credential | M.D. |
| Practice Address |
Newton Wellesley Physicians Nephrology Newton Wellesley Hospital, Green 460 Newton MA 20462 |
| Mailing Address |
Newton Wellesley Hospital, Green 460 Newton Wellesley Physicians Nephrology Newton MA 20462 |
| Practice Telephone | 6172435420 |
| Mailing Telephone | 6172435420 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 210130 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
210130 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0167100 | 05 | |
| MA | HARVARD PILGRIM HEALTHCAR | 693019 | 01 |
| MA | BLUE CROSS BLUE SHEILD | J24722 | 01 |
| MA | TUFTS HEALTH PLAN | 210130 | 01 |
| MA | FIRST HEALTH | 5594198 | 01 |
| Street Address |
NEWTON WELLESLEY PHYSICIANS NEPHROLOGY NEWTON WELLESLEY HOSPITAL, GREEN 460 |
| City | NEWTON |
| State | MA |
| Zip Code | 20462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760707 | New England Cognitive Behavior Therapy Group Pllc | Social Worker | 57 Wells Ave Ste 1, Newton, MA 02459-3263 | 2020-11-04 |
| 1902405236 | Elizabeth Anne Gavett | Speech-Language Pathologist | 8 Wesley St, Newton, MA 02458-1963 | 2020-10-19 |
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1760097307 | Luann Barbagallo | Technician | 3449 Uler Rd, Newton, WV 25266-9402 | 2020-09-10 |
| 1326653221 | Shirley Lin | Pharmacist | 137 W. Central St, Newton, MA 02460-0246 | 2020-09-09 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1376157784 | Avi Cohen | Counselor | 8 Mount Ida St Apt 2, Newton, MA 02458-1986 | 2020-09-02 |
| 1578176582 | Uyen Tran Tan Nguyen | Behavior Technician | 61 Chapel St, Newton, MA 02458-1010 | 2020-08-28 |
| Find all providers in NEWTON | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710933411 | Julia R Neuringer | Internal Medicine | 2014 Washington St., Newton/wellesley-nephrol, Newton, MA 02461 | 2006-05-25 |
| 1225028251 | The Renal Care Clinic, P.C. | Internal Medicine | 67 High St, Suite 102, Newton, NJ 07860-1705 | 2005-10-21 |
| 1043352107 | Henry M. Yager, Md PC | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2007-02-13 |
| 1225193451 | Dennis Jardiel Talon | Internal Medicine | 222 High St, Suite 206, Newton, NJ 07860-9604 | 2006-12-27 |
| 1982642674 | Kidney Specialty Clinic P A | Internal Medicine | 222 High St, Suite 206, Newton, NJ 07860-9604 | 2006-06-03 |
| 1902865363 | Henry Martin Yager | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2006-03-22 |
| 1265421283 | Lakshmi Lavanya Sodagum | Internal Medicine | 67 High St, Suite 102, Newton, NJ 07860-1705 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275444 | Grace Medical PC | Internal Medicine | 16 Ledge Hill St, Randolph, MA 02368-3514 | 2020-01-28 |
| 1588154041 | Ralph Nader | Internal Medicine | 72 East Concord St, Collamore Suite 29, Boston, MA 02118 | 2018-05-10 |
| 1184122905 | Claire Avillach | Internal Medicine | 650 Albany St Rm 540, Boston, MA 02118-2518 | 2018-01-26 |
| 1457880213 | Kidney Care and Transplant Services of New England, PC | Internal Medicine | 51 Locust St Ste 3, Northampton, MA 01060-2045 | 2017-06-06 |
| 1609263888 | Naveed Ashfaq | Internal Medicine | 148 Green St, Foxboro, MA 02035-2869 | 2015-04-24 |
| 1043612823 | New England Nephrology Associates, Pllc | Internal Medicine | 263 Huntington Ave # 232, Boston, MA 02115-4506 | 2014-09-23 |
| 1215345178 | Loulwa Alsharhan | Internal Medicine | 650 Albany St Fl 5, Boston, MA 02118-2518 | 2014-07-23 |
| 1154653921 | Innovative Medicine, PC | Internal Medicine | 70 Parker Hill Ave, Suite 3406, Roxbury Crossing, MA 02120-3224 | 2010-02-04 |
| 1639324791 | Patricia A Suzman | Internal Medicine | 87 Beacon St, Boston, MA 02108-3323 | 2008-11-17 |
| 1497922439 | Harald Sinclair Mackenzie | Internal Medicine | 422b Monument St, Concord, MA 01742-1810 | 2008-05-09 |
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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.