Charles E. Cuttic, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA000781L Issued in PA

Practice address

830 Old Lancaster Avenue, Suite 203
Bryn Mawr Hospital
Bryn Mawr, PA 19010

Phone

(610) 527-1600

Fax

(610) 527-0824

NPI assigned

Dec 11, 2008

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

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.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1578708103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER AVENUE, SUITE 203",
            "address_2": "BRYN MAWR HOSPITAL",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-527-1600",
            "fax_number": "610-527-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER AVENUE, SUITE 203",
            "address_2": "BRYN MAWR HOSPITAL",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-527-1600",
            "fax_number": "610-527-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTIC",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA000781L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA000751L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Crumlish, RN
• Amy Lawser Curran, MD
• Sean C Curran, M.D.
• Ashley Curreri, PA-C
• Susan A Cutler, DMD
• Andrew John D'Amico
• Janet Dabagian, CRNP
• Amy Marie Dalessandro, M.P.T.
• Arthur Dalton, PSY.D.
• Christopher X Daly, MD

• Surgical Physician Assistant in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.