Active NPI
Jeffrey P Muha, D.P.M.
- Foot Surgery Podiatrist
- Florence, SC
National Provider Identifier
1063464733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 128
- Practice address
- 1580 Freedom Blvd
Suite 106
Florence, SC 29505-6074 - Phone
- (843) 674-1480
- Fax
- (843) 674-6411
- NPI assigned
- May 17, 2006
- Last updated
- Nov 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 128 | SC | Primary |
Addresses
Primary practice location
1580 Freedom Blvd
Suite 106
Florence, SC 29505-6074
Mailing address
PO Box 11271
Belfast, ME 04915-4003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890805V | Medicaid | NC | |
| 480015152 | Other | SC | RAILROAD MEDICARE |
| PD1288 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1063464733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11271",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 FREEDOM BLVD",
"address_2": "SUITE 106",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056074",
"telephone_number": "843-674-1480",
"fax_number": "843-674-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHA",
"first_name": "JEFFREY",
"middle_name": "P",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "SC",
"license": "128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890805V",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480015152",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PD1288",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.