Pooneh Mussman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006383 Issued in MI

Practice address

9250 N 3Rd St
Suite 1003
Phoenix, AZ 85020-2437

Phone

(602) 331-7811

NPI assigned

Sep 19, 2012

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indigo Hospital Medicine - Alpena, PLC

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1740411461
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1033469887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 1003",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-331-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 1003",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-331-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMAN",
        "first_name": "POONEH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Musselman, DMD
• Caroline R Musselwhite, CCC-SLP
• Musser Enterprises LLC
• Jason Lee Mussman, M.D.
• Mussman, PLLC
• Esmat Mufeed Mustafa, M.D.
• Nanahauwau Mustapha
• Desiree Mustin
• Delick Mutabazi
• Muhammad M Mutazammil

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.