Active NPI
Terence R Mueller, MD
- Diagnostic Radiology Physician
- Cottonwood, AZ
National Provider Identifier
1154367936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23971
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (928) 639-6580
- NPI assigned
- Jun 21, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23971 | AZ | Primary |
Addresses
Primary practice location
269 S Candy LN
Cottonwood, AZ 86326-4158
Mailing address
PO Box 7207
Loveland, CO 80537-0207
Phone (920) 663-2742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356916 | Medicaid | AZ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23971 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Medical Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| Oak Creek Imaging | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Cottonwood, AZ
- NPI 1457315681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1154367936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7207",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805370207",
"telephone_number": "920-663-2742",
"fax_number": "970-667-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S CANDY LN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264158",
"telephone_number": "928-639-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "TERENCE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "23971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356916",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.