Active NPI
Stephen V Mueller, M.D.
- Gynecology Physician
- Belleville, IL
National Provider Identifier
1477592194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036048229
- Practice address
- 180 S 3Rd St
Suite 200
Belleville, IL 62220-1952 - Phone
- (618) 233-0017
- Fax
- (618) 233-0251
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036048229 | IL | Primary |
Addresses
Primary practice location
180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Mailing address
180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Phone (618) 233-0017
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244403684 | Other | IL | GROUP HEALTH PLAN |
| 0707048 | Other | IL | UHC MEDICARE COMPLETE |
| 036048229 | Medicaid | IL | |
| 821512 | Other | IL | BC/BS |
| 105592 | Other | IL | ALLIANCE BC/BS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1477592194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S 3RD ST",
"address_2": "SUITE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201952",
"telephone_number": "618-233-0017",
"fax_number": "618-233-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S 3RD ST",
"address_2": "SUITE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201952",
"telephone_number": "618-233-0017",
"fax_number": "618-233-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "STEPHEN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036048229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "244403684",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICARE COMPLETE",
"identifier": "0707048",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036048229",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "821512",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE BC/BS",
"identifier": "105592",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.