Mary Jo Foa Kutler, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

02633 Issued in AZ

Practice address

15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438

Phone

(480) 496-6444

Fax

(480) 496-9688

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1891999397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S 46TH ST",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480438",
            "telephone_number": "480-496-6444",
            "fax_number": "480-496-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S 46TH ST",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480438",
            "telephone_number": "480-496-6444",
            "fax_number": "480-496-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTLER",
        "first_name": "MARY JO",
        "middle_name": "FOA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "02633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Michael Kusmit, RPA/RA
• Sharon Kusne, CRNP
• Shimon Kusne, M.D.
• Patrycja Kuszka, PA-C
• Nicole D Kutch, OTR/L, CHT
• Richard Alan Kutt, RKT
• Wendy S Kutz, LCSW
• Eddie Leelove Kuykendall III, COTA
• Adam Jeremiah Kuzmiak, CRNA
• Geoffrey Alan Kuzmich, CRNA

• Pediatrics Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.