Philip Laurence Mussenden Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD25777 Issued in DC

Practice address

1647 Benning Road, N.E.
Suite 300B
Washington, DC 20002-4588

Phone

(202) 396-4774

Fax

(202) 396-8840

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1184702599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING ROAD, N.E.",
            "address_2": "SUITE 300B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024588",
            "telephone_number": "202-396-4774",
            "fax_number": "202-396-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING ROAD, N.E.",
            "address_2": "SUITE 300B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024588",
            "telephone_number": "202-396-4774",
            "fax_number": "202-396-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSENDEN",
        "first_name": "PHILIP",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD25777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "005271000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4278",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022494800",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1871663200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Ndive Musonge
• Claudia Awah Musongong
• Fozeya Mehedi Mussa
• Shitaye Kedir Mussa
• Samuel Afadish Musse
• Claudia Musser, LGPC
• Mahmoud H. Mustafa, MD
• Sara Mustafa
• Alimata Mustapha
• Hellen Motunrayo Mustapha

• General Practice Physician in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.