Theodore G Mushlin, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC1679L Issued in PA

Practice address

3319 W Chester Pike
Newtown Square, PA 19073-4226

Phone

(610) 356-5911

Fax

(610) 648-0423

NPI assigned

Jun 6, 2006

Last updated

Oct 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1184663643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734226",
            "telephone_number": "610-356-5911",
            "fax_number": "610-648-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734226",
            "telephone_number": "610-356-5911",
            "fax_number": "610-648-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHLIN",
        "first_name": "THEODORE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC1679L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC1679L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerilyn Pat Morrissey, MD
• Moya Home Health LLC
• Mario Moya, MD
• Dean W Moyer II, MS LPC NCC
• Robert E Muroff, DO
• Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr.)
• Ross Nachbi, DPT
• David W. Nadler, D.C.
• Neil P. Schwartz, O. D. P. C.
• Kelly Ann Nestor, CRNP

• Podiatrist in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.