NPIMap

Organization Active NPI

Robert E Mutterperl DO SC

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1326286915
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3369 Issued in AZ
Legal business name
ROBERT E MUTTERPERL DO SC
Practice address
6296 E Grant Rd Ste 104
Tucson, AZ 85712-5879
Phone
(202) 983-3215
Fax
(888) 978-2518
NPI assigned
Feb 4, 2009
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Dr. Robert E Mutterperl, DONPI 1861438822
Title
President
Phone
(520) 298-3321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3369 AZ Primary

Addresses

Primary practice location

6296 E Grant Rd Ste 104
Tucson, AZ 85712-5879

Mailing address

6296 E Grant Rd Ste 140
Tucson, AZ 85712-5876
Phone (520) 298-3321

Other identifiers 1

IdentifierTypeStateIssuer
410348MedicaidAZ

National Provider Directory

National Provider Directory

Locations

6296 E Grant Rd
Ste 104
Tucson, AZ 85712
Phone (202) 983-3215

6296 E Grant Rd
Ste 140
Tucson, AZ 85712
Phone (520) 298-3321

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1326286915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125876",
            "telephone_number": "520-298-3321",
            "fax_number": "888-978-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125879",
            "telephone_number": "202-983-3215",
            "fax_number": "888-978-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E MUTTERPERL DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "MUTTERPERL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-298-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410348",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.