Individual provider Active NPI

Jeffrey P Muha, D.P.M.

  • Foot Surgery Podiatrist
  • Florence, SC
National Provider Identifier
1063464733
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
128 Issued in SC
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890805VMedicaidNC
480015152OtherSCRAILROAD MEDICARE
PD1288MedicaidSC

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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.