Organization Active NPI

Jeffrey W. Muir DPM PC

  • Foot Surgery Podiatrist
  • Clarks Summit, PA
National Provider Identifier
1639200413
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC-003404-L Issued in PA
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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.NPI 1649234345
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X SC003404L PA
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0011733390009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070425000636 PA Part B Supplier - Clinic/Group Practice 6901902691 Receives reassigned benefits from 1 practitioner
Practice locations: Clarks Summit, PA
O20100930024105 PA DME Supplier - Physician - Podiatry 6901902691 Practice locations: Clarks Summit, PA

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.

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.

Verify at the official NPI Registry.