MUTINHIMA MOYO (NPI# 1497763015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497763015 |
| Entity Type | Individual |
| Full Name | MUTINHIMA MOYO |
| Credential | MD |
| Practice Address |
305 W Jackson St Ste 300 Carbondale IL 62901-1474 |
| Mailing Address |
95 Collier Rd Nw Suite 6500 Atlanta GA 30309-1796 |
| Practice Telephone | 6184573006 |
| Mailing Telephone | 4043515959 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036139289 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 053004 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 748065683A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 95 Collier Rd Nw, Suite 6500, Atlanta, GA 303091796 | 4043515959 |
| Street Address |
305 W JACKSON ST STE 300 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346506607 | Abraham El-sedfy | Surgery | 305 W Jackson St Ste 300, Carbondale, IL 62901 | 2012-04-11 |
| 1619298940 | Lyman Lansing Hale Iv | Surgery | 305 W Jackson St Ste 300, Carbondale, IL 62901-1474 | 2010-06-22 |
| 1477726875 | Satyadeep Bhattacharya | Surgery | 305 W Jackson St Ste 300, Carbondale, IL 62901-1474 | 2008-04-07 |
| 1568531010 | Adrian P Martin | Surgery | 305 W Jackson St Ste 300, Carbondale, IL 62901-1474 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669737243 | Arsalan Salamat | Surgery | 1237 E Main St Ste C1, Carbondale, IL 62901-3148 | 2012-07-10 |
| 1164412656 | Cynthia Aks | Surgery | 1237 E Main Suite C1, The Breast Center University Mall, Carbondale, IL 62901-3114 | 2005-10-26 |
| 1548257322 | Marsha G Ryan | Surgery | 1237 E Main St, Ste C1, Carbondale, IL 62901-3148 | 2005-10-05 |
| 1174521959 | United Surgical Associates, P.c | Surgery | 75 N Scott St, Carbondale, PA 18407-1833 | 2005-07-14 |
| 1346506607 | Abraham El-sedfy | Surgery | 305 W Jackson St Ste 300, Carbondale, IL 62901 | 2012-04-11 |
| 1720368145 | Aela Pauline Diane C Vely | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2011-08-17 |
| 1033411699 | Cristian Sorin Sarateanu | Surgery | 409 W Oak St, Carbondale, IL 62901-1414 | 2010-12-01 |
| 1235447368 | Kulsoom Laeeq | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2010-09-23 |
| 1619298940 | Lyman Lansing Hale Iv | Surgery | 305 W Jackson St Ste 300, Carbondale, IL 62901-1474 | 2010-06-22 |
| 1083946362 | L. Neal Mccain, M.d, Ltd. | Surgery | 305 W Jackson St, Suite 302, Carbondale, IL 62901-1474 | 2010-02-11 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.