Elizabeth Montez Mutzig, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16940 Issued in OK

Practice address

1260 E 27TH PL
Tulsa, OK 74114-3918

Phone

(918) 743-9696

Fax

(918) 743-9696

NPI assigned

May 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 Medicine

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922211606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E 27TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143918",
            "telephone_number": "918-743-9696",
            "fax_number": "918-743-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E 27TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143918",
            "telephone_number": "918-743-9696",
            "fax_number": "918-743-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTZIG",
        "first_name": "ELIZABETH",
        "middle_name": "MONTEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "16940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Mussett, DO
• Jacob Musto, OD
• Abigail Mutamba
• Heather Dawn Muth, RN
• Bobby Koshy Muthalaly, MD
• Bilal Ahmed Muzaffar, MD
• My Brothers Keeper Services Unlimited Inc. (Angelic Hospice)
• My Choice in-Home Senior Care (My Choice In-Home Senior Services)
• My Doctor Family Care, LLC
• My Doctor Immediate Care LLC

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.