Organization Active NPI

Steven W. Musto, M.D., PLLC

  • Internal Medicine Physician
  • Freeland, WA
National Provider Identifier
1033479746
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00034938 Issued in WA
Legal business name
STEVEN W. MUSTO, M.D., PLLC
Practice address
1638 E Main St
Ste 202
Freeland, WA 98249
Phone
(360) 331-6525
NPI assigned
May 29, 2012
Last updated
Feb 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Steven W. Musto, M.D.NPI 1497900419
Title
Managing Member
Phone
(360) 331-6525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00034938 WA Primary

Addresses

Primary practice location

1638 E Main St
Ste 202
Freeland, WA 98249

Mailing address

5670 94TH PL SW
Mukilteo, WA 98275-3655
Phone (360) 331-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000693 WA Part B Supplier - Clinic/Group Practice 1052575842 Receives reassigned benefits from 1 practitioner
Practice locations: Freeland, WA

National Provider Directory

National Provider Directory

Locations

1638 Main St
#202
Freeland, WA 98249
Phone (360) 331-6525

1638 Main St
Ste 202
Freeland, WA 98249
Phone (360) 331-6525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1033479746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 94TH PL SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982753655",
            "telephone_number": "360-331-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 E MAIN ST",
            "address_2": "STE 202",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "98249",
            "telephone_number": "360-331-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W. MUSTO, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "MUSTO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-331-6525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00034938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.