Active NPI
David J Musser, MD
- Surgery Physician
- Paducah, KY
National Provider Identifier
1609062306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD048255L
- Practice address
- 1532 Lone Oak Rd Ste 405
Paducah, KY 42003-7942 - Phone
- (270) 441-4300
- Fax
- (270) 441-4370
- NPI assigned
- Sep 18, 2007
- Last updated
- Apr 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD048255L | PA | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd Ste 405
Paducah, KY 42003-7942
Mailing address
2200 Jefferson Ave
5TH Floor Mercy Pho/Cvo
Toledo, OH 43604-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100494530 | Medicaid | KY |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmusser146246@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | dmusser146246@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | dmusser146246@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | dmusser146246@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MD048255L | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1609062306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "5TH FLOOR MERCY PHO/CVO",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 405",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037942",
"telephone_number": "270-441-4300",
"fax_number": "270-441-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSER",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD048255L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100494530",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmusser146246@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "705 Garfield Ave Ste 460",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015444",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmusser146246@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "705 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015444",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmusser146246@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "705 Garfield Ave Ste 460",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015444",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmusser146246@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "705 Garfield Ave Ste 460",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.