Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Alexander Thomas Mut, PA-C

Individual provider Surgical Physician Assistant · NPI 1083268676

Mr. Alexander Thomas Mut, PA-C is a Physician Assistant in Warwick, Rhode Island. Qualified in 2019, 7 years ago. Practices with Orthopedics Rhode Island Inc, a 124-clinician group and accepts Medicare assignment. Licensed in Rhode Island and Washington.

Years since qualifying
7
Licensed in
RI, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Crossings Blvd
Warwick, RI 02886-2878
Phone: (401) 777-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01672 (RI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA61000082 (WA)

Record details

NPI number1083268676
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthopedics Rhode Island Inc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Warwick