Active NPI
Jeffrey W. Muir DPM PC
- Foot Surgery Podiatrist
- Clarks Summit, PA
National Provider Identifier
1639200413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC-003404-L
- Legal business name
- JEFFREY W. MUIR DPM PC
- Practice address
- 412 N. State St.
Clarks Summit, PA 18411-1062 - Phone
- (570) 586-0421
- Fax
- (570) 586-5634
- NPI assigned
- Mar 7, 2007
- Organization subpart
- Yes
- Parent organization
- JEFFREY W. MUIR DPM PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey W Muir, D.P.M.
- Title
- Podiatrist
- Phone
- (570) 586-0421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003404L | PA | |
| Foot Surgery Podiatrist | 213ES0131X | SC-003404-L | PA | Primary |
Addresses
Primary practice location
412 N. State St.
Clarks Summit, PA 18411-1062
Mailing address
412 N. State St.
Clarks Summit, PA 18411-1062
Phone (570) 586-0421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011733390009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider Directory- Part of
- Jeffrey W Muir DPM PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Clarks Summit, PA
- NPI 1649234345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1639200413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N. STATE ST.",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111062",
"telephone_number": "570-586-0421",
"fax_number": "570-586-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 N. STATE ST.",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111062",
"telephone_number": "570-586-0421",
"fax_number": "570-586-5634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY W. MUIR DPM PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JEFFREY W. MUIR DPM PC",
"enumeration_date": "2007-03-07",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "MUIR",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "570-586-0421",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003404L",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC-003404-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011733390009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.