Active NPI
Alia El Mousa, MD
- Pediatrics Physician
- Caro, MI
National Provider Identifier
1073716734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301078432
- Practice address
- 1525 Caro Rd
Caro, MI 48723 - Phone
- (989) 672-2100
- NPI assigned
- Jun 8, 2007
- Last updated
- Mar 14, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301078432 | MI | Primary |
Addresses
Primary practice location
1525 Caro Rd
Caro, MI 48723
Mailing address
3061 Christy Way
Saginaw, MI 48603-2267
Phone (989) 791-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078432 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1073716734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 CHRISTY WAY",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032267",
"telephone_number": "989-791-2455",
"fax_number": "989-791-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "48723",
"telephone_number": "989-672-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL MOUSA",
"first_name": "ALIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301078432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.