Dr. Jeffrey L Mikutis
Pediatric Orthopaedic Surgeon
1 Childrens Plz
Dayton
, Ohio 45404-1815
Dr. Jeffrey L Mikutis
Pediatric Orthopaedic Surgeon
1 Childrens Plz
Dayton
, Ohio 45404-1815
(937) 641-3000
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey L Mikutis
- 1 Childrens Plz
- Dayton, OH
- Zip : 45404-1815
- Phone : (937) 641-3000
Second Address
- Dr. Jeffrey L Mikutis
- 1 Childrens Plz
- Dayton, OH
- Zip : 45404-1815
- Fax : (937) 641-4500
- Phone : (937) 641-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 34.005638 | OH |
National Provider Identifier
| NPI | 1720028863 |
|---|---|
| Provider Name | Dr. Jeffrey L Mikutis |
| First Address | Dayton, OH 45404-1815 |
| Second Address | Dayton, OH 45404-1815 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 19/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05279 | PARAMOUNT (01) | OH |
| 0917664 | (05) | OH |
| 0917664 | BCMH (01) | OH |
| 200533320 | (05) | IN |
| 200567 | UNISON (01) | OH |
| 278476 | AMERIGROUP (01) | OH |
| 311676182027 | CARESOURCE (01) | OH |
| 326196 | BC/BS (01) | OH |
| 326196 | ONE NATION (01) | OH |
| 4329917 | AETNA (01) | OH |
| 64117427 | (05) | KY |
| 738694 | BUCKEYE (01) | OH |
| DO8160 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.