Active NPI
Roger A Mueller, MD
- Orthopaedic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1417928839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 9596
- Practice address
- 4505 Memorial Cir
Oklahoma City, OK 73142-5004 - Phone
- (405) 755-1880
- Fax
- (405) 755-9237
- NPI assigned
- Feb 1, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9596 | OK | Primary |
Addresses
Primary practice location
4505 Memorial Cir
Oklahoma City, OK 73142-5004
Mailing address
4505 Memorial Cir
Oklahoma City, OK 73142-5004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200040033 | Other | OK | RAILROAD MEDICARE |
| 100028400A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9596 | OK | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1417928839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 MEMORIAL CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731425004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 MEMORIAL CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731425004",
"telephone_number": "405-755-1880",
"fax_number": "405-755-9237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "ROGER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "9596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200040033",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100028400A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.