DR. MATTHEW G MUTCH (NPI# 1669498887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669498887 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW G MUTCH |
| Credential | MD |
| Practice Address |
1040 N Mason Rd Ste 120 Creve Coeur MO 63141-6399 |
| Mailing Address |
660 S Euclid Ave Cb 8109 Saint Louis MO 63110-1010 |
| Practice Telephone | 3144547177 |
| Practice Fax Number | 3144545249 |
| Mailing Telephone | 3144547177 |
| Mailing Fax Number | 3144545249 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 106142 | MO | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 106142 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205822604 | 05 | |
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285027698 | Matthew M Mutch | Chiropractor | 440 S E St, Santa Rosa, CA 95404-5136 | 2015-03-09 |
| Street Address |
1040 N MASON RD STE 120 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922325760 | Ivane C Chua | Colon & Rectal Surgery | 6060 N Oak Trfy, #101, Kansas City, MO 64118-5130 | 2010-05-03 |
| 1154358745 | Todd W Arends | Colon & Rectal Surgery | 226 S. Woods Mill Rd., Suite 49w, Chesterfield, MO 63017-3663 | 2006-06-27 |
| 1811932502 | Lawrence G Mendelow | Colon & Rectal Surgery | 555 N. New Ballas, Suite 265, Saint Louis, MO 63141-2330 | 2006-06-18 |
| 1881668564 | Steven Mark Abbadessa | Colon & Rectal Surgery | 456 N New Ballas Rd Ste 154, Saint Louis, MO 63141-6827 | 2006-02-17 |
| 1801899141 | Ralph Silverman | Colon & Rectal Surgery | 12345 West Bend Dr., Suite 303, St. Louis, MO 63128 | 2005-05-31 |
| 1588142657 | Tiffany Chan | Colon & Rectal Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-08-01 |
| 1649680638 | Robert West Lc | Colon & Rectal Surgery | 15510 Olive Blvd, Suite 115, Chesterfield, MO 63017-0710 | 2014-04-30 |
| 1063855898 | Benjamin J Kulow | Colon & Rectal Surgery | 5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483 | 2013-04-11 |
| 1902149644 | Jennifer Lu | Colon & Rectal Surgery | 1965 S Fremont Ave Ste 100, Springfield, MO 65804 | 2013-04-01 |
| 1386900884 | Zhifei Sun | Colon & Rectal Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-04-09 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.