Walter N Muth, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

014860 Issued in ME

Practice address

128 Bucksport Rd
Suite B
Ellsworth, ME 04605-2239

Phone

(207) 667-6300

Fax

(207) 667-9523

NPI assigned

Feb 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Cec, LLC

  • Ophthalmology Physician
  • Ellsworth, ME
  • NPI 1376900720
  NPD (past)
• Coastal Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Ellsworth, ME
  • NPI 1366620726
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1497721161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046141539",
            "telephone_number": "207-667-6300",
            "fax_number": "207-667-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BUCKSPORT RD",
            "address_2": "SUITE B",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052239",
            "telephone_number": "207-667-6300",
            "fax_number": "207-667-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH",
        "first_name": "WALTER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "014860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300850099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Moors, LCPC
• Jennifer Morgan-Binns, LCSW
• Kimberly Morrison, LCSW
• Patricia A. Murphy, LADC
• Katherine Murray, WHNP
• Marc Mytar, PHD
• Cheryl M Nelson, LCPC LMHC
• Bob G. Nesiba, D.C.
• New Albertson'S Inc #7557/490
• Next Step Domestic Violence Project

• Ophthalmology Physician in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Ophthalmology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.