Active NPI
Jose C. Muniz, MD, PA
- Specialist
- Frederick, MD
National Provider Identifier
1013926658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0020786
- Legal business name
- JOSE C. MUNIZ, MD, PA
- Practice address
- 178 Thomas Johnson Dr
Frederick, MD 21702-4386 - Phone
- (301) 662-1244
- Fax
- (301) 662-0552
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose C Muniz, MD
- Title
- President
- Phone
- (301) 662-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0020786 | MD | Primary |
Addresses
Primary practice location
178 Thomas Johnson Dr
Frederick, MD 21702-4386
Mailing address
178 Thomas Johnson Dr
Frederick, MD 21702-4386
Phone (301) 662-1244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40922280001 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
178 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 662-1244
178 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 662-1244
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Silver Spring, MD
- NPI 1164425955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366675200000",
"number": "1013926658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024386",
"telephone_number": "301-662-1244",
"fax_number": "301-662-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024386",
"telephone_number": "301-662-1244",
"fax_number": "301-662-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE C. MUNIZ, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2013-04-23",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-662-1244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0020786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40922280001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.