Active NPI
Amira E Mustafa, MD
- Pediatrics Physician
- Akron, OH
National Provider Identifier
1528005014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-088530
- Practice address
- 1600 E Turkeyfoot Lake Rd
Akron, OH 44312-5365 - Phone
- (330) 899-5437
- Fax
- (330) 899-5447
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-088530 | OH | Primary |
Addresses
Primary practice location
1600 E Turkeyfoot Lake Rd
Akron, OH 44312-5365
Mailing address
1600 E Turkeyfoot Lake Rd
Akron, OH 44312-5365
Phone (330) 899-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2675378 | Medicaid | OH |
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 |
|---|---|---|---|
| 35-088530 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528005014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E TURKEYFOOT LAKE RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443125365",
"telephone_number": "330-899-5437",
"fax_number": "330-899-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E TURKEYFOOT LAKE RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443125365",
"telephone_number": "330-899-5437",
"fax_number": "330-899-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "AMIRA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-088530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2675378",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.