GARY THOMAS MUTCH D.O.
NPI 1356366462
Emergency Medicine in Eden, NC

Q: What is Gary Mutch's NPI number?

The NPI number for Gary Mutch is 1356366462. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Gary Mutch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Mutch was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2006

117 E KINGS HWY, EDEN, NC 27288(336) 623-9711(336) 623-7660 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gary Thomas Mutch D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY THOMAS MUTCH D.O. (NPI 1356366462) is an individual emergency medicine provider in Eden, North Carolina, licensed in North Carolina (19870) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1356366462

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGARY THOMAS MUTCHCredential: D.O.

Location Address117 E KINGS HWYEden, NC 27288-5201

Mailing Address117 E Kings HwyEden, NC 27288-5201 · (336) 623-9711 · Fax (336) 623-7660

Phone(336) 623-9711

Fax(336) 623-7660

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateDecember 14, 2007

✔ NPI 1356366462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 19870

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

117 E KINGS HWY, Eden, NC 27288

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Other Identifiers 4

Medicare PIN201638BNC

Medicare UPINC80801

Medicaid6056601VA

Medicaid8961636NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON NICOLE WILLIAMS PA-C

Physician Assistant (Medical)