Organization Active NPI

Jose C. Muniz, MD, PA

  • Specialist
  • Frederick, MD
National Provider Identifier
1013926658
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0020786 Issued in MD
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

Updated by the provider on Apr 23, 2013

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
40922280001MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.