David Wayne Mutch, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

A245 Issued in SC

Practice address

1222 S Orange Ave
2ND Floor
Orlando, FL 32806-1215

Phone

(321) 841-7700

Fax

(321) 841-7799

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associates in Neurosurgery, PA

  • Specialist
  • Orlando, FL
  • NPI 1407969678
  NPD (past)
• Cardiovascular Surgeons, P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orlando, FL
  • NPI 1912904111
  NPD (past)
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  NPD (past)
• Florida Otolaryngology Group, P.a.

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1740368802
  NPD (past)
• German Montoya, M.D.PA

  • Specialist
  • Orlando, FL
  • NPI 1750494944
  NPD (past)
• Jewett Orthopaedic Clinic LLC

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1821097437
  NPD (past)
• Neurosurgical Consultants of FL, PA

  • Neurological Surgery Physician
  • Ocoee, FL
  • NPI 1588618037
  NPD (past)
• Stephen Schreiber, MD

  • Surgery Physician
  • Winter Park, FL
  • NPI 1275581589
  NPD (past)
• Catawba Piedmont Cardiothoracic Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rock Hill, SC
  • NPI 1093765398
  NPD (past)
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1174521611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "address_2": "2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-7700",
            "fax_number": "321-841-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "address_2": "2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-7700",
            "fax_number": "321-841-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTCH",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "A245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Musumeche
• Emily Joanne Musuras
• Agnes Musyoka
• Rhoda Musyoka
• Michael Joseph Muszynski, MD
• Mutual Family Health, LLC
• Tarig Mohamed Sharif Muzamil Ali-Dinar, M.D.,
• Toni Marie Muzzonigro, D.O.
• MV Behavior Therapy Services Inc
• My Angels J&J Ppec, LLC

• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.