Active NPI
Patricia Muthaura, MD
- Obstetrics Physician
- Bryn Mawr, PA
National Provider Identifier
1609923507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- MD423543
- Practice address
- 919 Conestoga Rd
BLDG#1, Suite 104
Bryn Mawr, PA 19010-1352 - Phone
- (610) 525-6400
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | MD423543 | PA | Primary |
Addresses
Primary practice location
919 Conestoga Rd
BLDG#1, Suite 104
Bryn Mawr, PA 19010-1352
Mailing address
344 Glenn Rose Cir
King of Prussia, PA 19406-1784
Phone (856) 220-4585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0423543I | Other | PA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609923507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 GLENN ROSE CIR",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061784",
"telephone_number": "856-220-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG#1, SUITE 104",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "610-525-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHAURA",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "PA",
"license": "MD423543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD0423543I",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.