Organization Active NPI

Karen L. Mutter, DO, PA

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1831492339
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 6328 Issued in FL
Legal business name
KAREN L. MUTTER, DO, PA
Practice address
5771 Roosevelt Blvd
Suite 300
Clearwater, FL 33760-3407
Phone
(727) 524-0900
Fax
(727) 507-8822
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Karen Lisa Mutter, D.O.
Title
President
Phone
(727) 524-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS 6328 FL Primary

Addresses

Primary practice location

5771 Roosevelt Blvd
Suite 300
Clearwater, FL 33760-3407

Mailing address

5771 Roosevelt Blvd
Suite 300
Clearwater, FL 33760-3407
Phone (727) 524-0900

Other names 1

  • Integrative Medicine Healing Center Doing business as

National Provider Directory

National Provider Directory

Locations

5771 Roosevelt Blvd
Ste 300
Clearwater, FL 33760
Phone (727) 524-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1831492339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "address_2": "SUITE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-524-0900",
            "fax_number": "727-507-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "address_2": "SUITE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-524-0900",
            "fax_number": "727-507-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN L. MUTTER, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MUTTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-524-0900",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Medicine Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.