Ra Musella MD Facs PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME0018297 Issued in FL

Legal business name

RA MUSELLA MD FACS PA

Practice address

6600 66TH St N
Pinellas Park, FL 33781

Phone

(231) 638-1853

Fax

(239) 790-5050

NPI assigned

Feb 13, 2006

Reactivated

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Marci Charland

Title

Billing Supervisor

Phone

(231) 638-1853

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1609849231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "231-638-1853",
            "fax_number": "239-790-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "231-638-1853",
            "fax_number": "239-790-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA MUSELLA MD FACS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-05-21",
        "deactivation_date": "2012-10-31",
        "reactivation_date": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "CHARLAND",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "231-638-1853"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0018297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047952700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristin Raider
• Yenima Vin Ramirez Ibargollin, APRN, FNP-C

• Neurological Surgery Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.