MR. GEOFFREY MUTISYA MUTHAMI (NPI# 1679059489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679059489 |
| Entity Type | Individual |
| Full Name | MR. GEOFFREY MUTISYA MUTHAMI |
| Credential | CRNP |
| Practice Address |
1020 N Union St Middletown PA 17057-2158 |
| Mailing Address |
10498 Mapleton Rd Shippensburg PA 17257-9026 |
| Practice Telephone | 7179301200 |
| Mailing Telephone | 7177290806 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | SP018926 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1020 N UNION ST |
| City | MIDDLETOWN |
| State | PA |
| Zip Code | 17057-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578520011 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 1020 N Union St, Middletown, PA 17057-2158 | 2006-04-27 |
| 1053947291 | Brenda Baxter | Physical Therapy Assistant | 1020 N Union St, Middletown, PA 17057-2158 | 2020-03-19 |
| 1922574466 | Aaron Brooks Daugherty | Speech-Language Pathologist | 1020 N Union St, Middletown, PA 17057-2158 | 2018-10-23 |
| 1255811642 | Amanda L Staub | Physical Therapy Assistant | 1020 N Union St, Middletown, PA 17057-2158 | 2018-08-15 |
| 1457869539 | Haley Hoover | Speech-Language Pathologist | 1020 N Union St, Middletown, PA 17057-2158 | 2018-01-11 |
| 1225564206 | Lauren Bupp | Occupational Therapy Assistant | 1020 N Union St, Middletown, PA 17057-2158 | 2017-05-11 |
| 1184159592 | Ashley Claire Wuest | Speech-Language Pathologist | 1020 N Union St, Middletown, PA 17057-2158 | 2017-04-23 |
| 1598212052 | Brittany Franklin | Speech-Language Pathologist | 1020 N Union St, Middletown, PA 17057-2158 | 2016-09-01 |
| 1760856769 | Christine Marie Scarito-thomas | Physical Therapist | 1020 N Union St, Middletown, PA 17057-2158 | 2015-11-15 |
| 1649642711 | Laura Marie Donofry | Occupational Therapy Assistant | 1020 N Union St, Middletown, PA 17057-2158 | 2015-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388105 | Jeffrey Giovino | Driver | 3265 Fulling Mill Road, Middletown, PA 17057 | 2016-10-27 |
| 1619330123 | David I Shatto Jr. | Pharmacist | 1581 Woodridge Drive, Middletown, PA 17057 | 2016-04-01 |
| 1528440344 | Alexis Rose Falcone | Occupational Therapist | 1020 N. Union Street, Middletown, PA 17057 | 2015-06-29 |
| 1477992329 | Melinda Ann Ramberger | Physical Therapy Assistant | 1020 North Union St, Middletown, PA 17057 | 2013-06-24 |
| 1700906963 | Londonderry Fire Company No.1 | Ambulance | 2655 Foxianna Road, Middletown, PA 17057 | 2007-03-30 |
| 1780711333 | Bruce S Bashline D.o. Inc. | Family Medicine | 1100 Spring Garden Drive, Middletown, PA 17057 | 2007-02-28 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1518065242 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1565 Wharrisburg Pk, Middletown, PA 17057 | 2006-09-20 |
| 1235242512 | Andrew V Welkie | Dentist | 244 Adelia St, Middletown, PA 17057 | 2006-08-17 |
| 1790757094 | Gregory Albert Anoia Sr. | Optometrist | 120 West Water Street, Box 160, Middletown, PA 17057 | 2006-02-02 |
| Find all providers in zip 17057 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1730174111 | Rodolfo A Nazario | General Practice | 129 Wickham Ave, Middletown, NY 10940-3714 | 2005-09-13 |
| 1407163355 | Arvind G. Kamthan, M.d.p.c. | General Practice | 225 Dolson Ave, Suite 301, Middletown, NY 10940-6569 | 2010-09-13 |
| 1316198005 | Trevor Kent Ennis | General Practice | 421 E Main St Ste 6, Middletown, DE 19709-1463 | 2008-10-01 |
| 1124187430 | Nalini Menon Pathiyal | General Practice | Silver Street, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-12-06 |
| 1568400802 | John Morlino | General Practice | 2 Kings Hwy E, Middletown, NJ 07748-3509 | 2006-06-02 |
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| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 17057 |
Please comment or provide details below to improve the information on MR. GEOFFREY MUTISYA MUTHAMI.
| 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.