Organization Active NPI

Muto Thoracic Clinic Incorporated

  • Surgery Physician
  • Lawrence, MA
National Provider Identifier
1962526764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25701 Issued in MA
Legal business name
MUTO THORACIC CLINIC INCORPORATED
Practice address
100 Amesbury Street,
Suite 113
Lawrence, MA 01840
Phone
(978) 683-2217
Fax
(978) 689-0493
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rudolph Muto, MD
Title
Doctor
Phone
(978) 683-2217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25701 MA Primary

Addresses

Primary practice location

100 Amesbury Street,
Suite 113
Lawrence, MA 01840

Mailing address

100 Amesbury Street,
Suite 113
Lawrence, MA 01840
Phone (978) 683-2217

National Provider Directory

National Provider Directory

Locations

100 Amesbury St
Ste 113
Lawrence, MA 01840
Phone (978) 683-2217

Practitioners & affiliated clinicians

Practitioners 2

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962526764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AMESBURY STREET,",
            "address_2": "SUITE 113",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-683-2217",
            "fax_number": "978-689-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY STREET,",
            "address_2": "SUITE 113",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-683-2217",
            "fax_number": "978-689-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTO THORACIC CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUTO",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "978-683-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "25701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.