David Mutch, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DM008287 Issued in MI

Practice address

827 E Division St
Cadillac, MI 49601-2015

Phone

(231) 775-9741

Fax

(231) 775-9333

NPI assigned

Aug 10, 2005

Last updated

Dec 1, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1952303901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E DIVISION ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012015",
            "telephone_number": "231-775-9741",
            "fax_number": "231-775-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E DIVISION ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012015",
            "telephone_number": "231-775-9741",
            "fax_number": "231-775-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTCH",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DM008287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munson Healthcare Otsego Memorial Hospital
• Munson Healthcare Otsego Memorial Hospital
• Munson Healthcare Otsego Memorial Hospital (Cadillac Primary Care & OBGYN)
• Munson Home Services (Munson Home Medical Equipment)
• Rachel M Murley, TLLP
• Randall Edward Myers, O.D.
• Chandrashekar Narayana, M.D.
• Christine Nash
• John R Nelson, MD
• Penny Eliasson Nerem, PTA

• Family Medicine Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.