George K Mutema (NPI# 1093794018, PAC ID# 4385546514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1093794018 |
| PAC ID by PECOS | 4385546514 |
| Professional Enrollment ID | I20040127000155 |
| Full Name | George K Mutema |
| Organization Legal Name | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| Address |
3000 Mack Rd Fairfield OH 45014-5335 |
| Phone Number | 5138707000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3971585217 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360001 | MERCY HOSPITAL ANDERSON |
| 360234 | MERCY HEALTH - WEST HOSPITAL |
| 360179 | BETHESDA NORTH |
| 360362 | TRIHEALTH EVENDALE HOSPITAL |
| 360056 | MERCY HOSPITAL FAIRFIELD |
| Address | Phone | Organization |
|---|---|---|
| 3000 Hospital Dr, Batavia, OH 45103-1921 | 5137328200 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 5138651111 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 2446 Kipling Ave, Cincinnati, OH 45239-6650 | 5138535165 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 3155 Glendale Milford Rd, Cincinnati, OH 45241-3134 | 5133895268 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 5138651254 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 7500 State Rd, Cincinnati, OH 45255-2439 | 5136244500 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 7810 5 Mile Rd, Suite B, Cincinnati, OH 45230-2356 | 5139779700 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| 3000 Mack Rd, Fairfield, OH 45014-5335 | 5138707000 | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| Organization Legal Name | SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan B Rock | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Elias A Castilla | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Hospital Dr, Batavia, OH 45103-1921 |
| Rachel M Roth | Pathology | Southern Ohio Pathology Consultants, Inc. | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Carl Louis Buckner | Pathology | Southern Ohio Pathology Consultants, Inc. | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Cristina D Cole | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Hospital Dr, Batavia, OH 45103-1921 |
| Sajini Mathew | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Hospital Dr, Batavia, OH 45103-1921 |
| Matthew P Bramlage | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Jay J Jiang | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Hospital Dr, Batavia, OH 45103-1921 |
| Diana M Haninger | Pathology | Southern Ohio Pathology Consultants, Inc. | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| Abraham Philip | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Street Address |
3000 MACK RD |
| City | FAIRFIELD |
| State | OH |
| Zip | 45014-5335 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Freeha Khan | Hospitalist | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Gregory Colangelo | Pulmonary Disease | Mercy Health Physicians Cincinnati LLC | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Jonathan B Rock | Pathology | Southern Ohio Pathology Consultants, Inc. | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Ashley M Luster | Nurse Practitioner | Mercy Health Physicians Cincinnati LLC | 3000 Mack Rd, Suite 100, Fairfield, OH 45014-5335 |
| Jennifer Blied | Nurse Practitioner | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Sanjiv Patel | Sleep Medicine | Mercy Health Physicians Cincinnati LLC | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Mompoloki B Nkhumane | Hospitalist | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Donna R Adams | Hospitalist | Hospitalist Medicine Physicians of Ohio, Professional Corporation | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Nicholas A Godby | Physical Medicine and Rehabilitation | Stephen D Heis Md and Associates Inc | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Tiffanie Rose Pierce | Nurse Practitioner | Mercy Health Physicians Cincinnati LLC | 3000 Mack Rd, Fairfield, OH 45014-5335 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Sterling Jackson | Optometry | 574 Symmes Rd, Fairfield, OH 45014-1038 | |
| Amir Izhar | Nephrology | Kidney and Hypertension Center Inc | 1210 Hicks Blvd, Fairfield, OH 45014-1921 |
| Diana Christine Scott | Certified Clinical Nurse Specialist (cns) | Decoach Team LLC | 6570 Sosna Dr, Fairfield, OH 45014-2222 |
| James R Hodge | Colorectal Surgery (proctology) | Decoach Team LLC | 6570 Sosna Dr, Fairfield, OH 45014-2222 |
| Robert D Poteete | Chiropractic | 5088 Pleasant Ave, Fairfield, OH 45014-2518 | |
| Karl W Jackson | Psychologist, Clinical | 311 Nilles Rd A, Fairfield, OH 45014-2621 | |
| Dummi P Yathiraj | Internal Medicine | 311 Nilles Rd C, Fairfield, OH 45014-2621 | |
| Rahib N Vasi | Internal Medicine | 311 Nilles Rd, Suite C, Fairfield, OH 45014-2621 | |
| Shwetal Desai | Internal Medicine | 5157 Pleasant Ave, Fairfield, OH 45014-2622 | |
| Mahendra K Matta | Colorectal Surgery (proctology) | 447 Nilles Rd, Suite 3, Fairfield, OH 45014-2626 | |
| Find all physicians in zip 45014 | |||
| City | FAIRFIELD |
| Zip Code | 45014 |
| Specialty | PATHOLOGY |
| City + Specialty | FAIRFIELD + PATHOLOGY |
Please comment or provide details below to improve the information on George K Mutema.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.