Active NPI
Michael Morgan Mueller, MS, PA-C
- Physician Assistant
- Schenectady, NY
National Provider Identifier
1447773791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021068
- Practice address
- 1101 Nott St
Schenectady, NY 12308-2425 - Phone
- (518) 243-4000
- NPI assigned
- Jul 19, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021068 | NY | Primary |
Addresses
Primary practice location
1101 Nott St
Schenectady, NY 12308-2425
Mailing address
409 Brunswick Dr Apt 11
Troy, NY 12180-6677
Phone (607) 435-4148
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
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021068 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1447773791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 BRUNSWICK DR APT 11",
"city": "TROY",
"state": "NY",
"postal_code": "121806677",
"telephone_number": "607-435-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NOTT ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082425",
"telephone_number": "518-243-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "MICHAEL",
"middle_name": "MORGAN",
"credential": "MS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.