Liane Muller, D.O., PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1869 Issued in ME

Legal business name

LIANE MULLER, D.O., PA

Practice address

63 Main St
Suite a
Bridgton, ME 04009

Phone

(207) 647-2440

Fax

(207) 647-3775

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Liane Muller, D.O.

Title

President

Phone

(207) 647-2440

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1164611703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040090118",
            "telephone_number": "207-647-2440",
            "fax_number": "207-647-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "address_2": "SUITE A",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "04009",
            "telephone_number": "207-647-2440",
            "fax_number": "207-647-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIANE MULLER, D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "LIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-647-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ME",
            "license": "1869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1127587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "099629",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431995900",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "I33516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5488624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maine Administrative School District No 61

• Clinic/Center in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.