Michael Muscatella LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004109 Issued in IL

Legal business name

MICHAEL MUSCATELLA LTD

Doing business as

Family Foot & Ankle Center of champaign

Practice address

3125 Village Office PL
Champaign, IL 61822-7673

Phone

(217) 398-3338

Fax

(217) 398-4961

NPI assigned

Oct 18, 2007

Last updated

Mar 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Muscatella, DPMNPI 1578667515

Title

President

Phone

(217) 398-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Foot & Ankle Center of champaign Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Michael Muscatella, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Champaign, IL
  • NPI 1578667515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1134318827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227673",
            "telephone_number": "217-398-3338",
            "fax_number": "217-398-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227673",
            "telephone_number": "217-398-3338",
            "fax_number": "217-398-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MUSCATELLA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "MUSCATELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-398-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Foot & Ankle Center of champaign",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul R Mettler, PT, DPT
• Elizabeth Meyer
• Kathy Tate Meyer, MS, ATC, NCMT
• Rick C Meyer, B.A.
• Sara Jo Meyer, O.D.
• Michael Shmikler Counseling LLC
• Jeanie Mickelsen, LCPC
• Midwest Neurofitness
• Midwest Spine and Regenerative Pain Center Inc
• Midwest Surgical Center

• Foot & Ankle Surgery Podiatrist in Champaign, IL
• Providers in Champaign, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.