PATRICK MURATHIMI MUTUGU


Address: 707 N Michigan St, South Bend, IN 46601-1067
Phone: 5746478470

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 707 N MICHIGAN ST
City SOUTH BEND
State IN
Zip Code 46601-1067

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City SOUTH BEND
Zip Code 46601

Improve Information

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Dataset Information

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.

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