Tarik Mujadzic, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

LL82570 Issued in SC

Practice address

Plastic Surgery
2 Medical Park, Ste 300
Columbia, SC 29203

Phone

(803) 545-5800

Fax

(803) 928-0492

NPI assigned

May 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1013574839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLASTIC SURGERY",
            "address_2": "2 MEDICAL PARK, STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-545-5800",
            "fax_number": "803-928-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLASTIC SURGERY",
            "address_2": "2 MEDICAL PARK, STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-545-5800",
            "fax_number": "803-928-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJADZIC",
        "first_name": "TARIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "LL82570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Nora Mudd, RBT
• Alicia Muellenbach, PHARMD
• Riyadh D Muhammad, MD, MPH
• Hata Mujadzic, MD
• Mirsad Mujadzic, M.D.
• Nermin Mujkanovic
• Tianna Mukendi, RBT
• Tara Kathleen Mulcahey, LMSW
• Alana B Mulder, RN
• Darnell Muldrow, RBT

• Plastic Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.