| Christopher J Mutrie, MD | |
| 6029 Walnut Grove Rd, Suite 401, Memphis, TN 38120-2112 | |
| (901) 226-0456 | |
| (901) 226-0458 | 
| Full Name | Christopher J Mutrie | 
|---|---|
| Gender | Male | 
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) | 
| Location | 6029 Walnut Grove Rd, Memphis, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679757157 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 49238 (Tennessee) | Primary | 
| Entity Name | Kaiser Foundation Health Plan Of The Northwest | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christopher J Mutrie, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: () - | Christopher J Mutrie, MD 6029 Walnut Grove Rd, Suite 401, Memphis, TN 38120-2112 Ph: (901) 226-0456 | 
| Rachel E. Harrison, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-747-3066 | |
| Ganpat Shivrai Valaulikar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 | |
| Dr. Edward T Robbins, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 6027 Walnut Grove Road, Suite 203, Memphis, TN 38120 Phone: 901-761-9155 Fax: 901-683-3915 | |
| James W Johnson Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5180 Park Ave, Suite 250, Memphis, TN 38119 Phone: 901-753-3766 Fax: 901-759-1184 | |
| Bradley A Wolf, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Suite 401, Memphis, TN 38120 Phone: 901-226-0456 Fax: 901-226-0458 | |
| Dr. Louis Barry Ostrow, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 6750 Poplar Ave, Suite 210, Memphis, TN 38138 Phone: 901-757-5740 Fax: 901-758-8047 | |
| Vanessa R Gibson, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, 2 Shorb Tower, Memphis, TN 38104 Phone: 901-478-2211 Fax: 901-478-2215 |