Organization Active NPI

Matthew C. Mueller DO Inc

  • Family Medicine Physician
  • Niles, OH
National Provider Identifier
1508185927
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007088 Issued in OH
Legal business name
MATTHEW C. MUELLER DO INC
Practice address
1160 Niles Cortland Rd
Niles, OH 44446-3596
Phone
(330) 652-1060
Fax
(330) 652-1052
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Matthew Carl Mueller, DO
Title
Owner
Phone
(330) 652-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34007088 OH Primary

Addresses

Primary practice location

1160 Niles Cortland Rd
Niles, OH 44446-3596

Mailing address

1160 Niles Cortland Rd
Niles, OH 44446-3596
Phone (330) 652-1060

National Provider Directory

National Provider Directory

Locations

1160 Niles Cortland Rd
Niles, OH 44446
Phone (330) 652-1060

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1508185927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 NILES CORTLAND RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463596",
            "telephone_number": "330-652-1060",
            "fax_number": "330-652-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 NILES CORTLAND RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463596",
            "telephone_number": "330-652-1060",
            "fax_number": "330-652-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW C. MUELLER DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-652-1060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.