Organization Active NPI

Stephen Musser DPM, Inc.

  • Podiatrist
  • North Olmsted, OH
National Provider Identifier
1649342759
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-002574 Issued in OH
Legal business name
STEPHEN MUSSER DPM, INC.
Practice address
25043 Lorain Rd
North Olmsted, OH 44070-2054
Phone
(440) 777-5358
Fax
(440) 777-5922
NPI assigned
Nov 14, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Stephen C Musser, DPMNPI 1629049051
Title
President
Phone
(440) 777-5358

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-002574 OH Primary

Addresses

Primary practice location

25043 Lorain Rd
North Olmsted, OH 44070-2054

Mailing address

25043 Lorain Rd
North Olmsted, OH 44070-2054
Phone (440) 777-5358

Other identifiers 4

IdentifierTypeStateIssuer
P00000271OtherOHRAILROAD
3645278A11OtherOHANTHEM EAST
0652482OtherOHMEDICARE GROUP
0752681MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100119000003 OH Part B Supplier - Clinic/Group Practice 4284673708 Receives reassigned benefits from 1 practitioner
Practice locations: North Olmsted, OH
O20100930072401 OH DME Supplier - Physician - Podiatry 4284673708 1 other NPI on this enrollment
Practice locations: North Olmsted, OH

National Provider Directory

National Provider Directory

Locations

25701 N Lakeland Blvd
Ste 402
Euclid, OH 44132
Phone (216) 731-3370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1649342759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25043 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702054",
            "telephone_number": "440-777-5358",
            "fax_number": "440-777-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25043 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702054",
            "telephone_number": "440-777-5358",
            "fax_number": "440-777-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MUSSER DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "MUSSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-777-5358",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00000271",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM EAST",
            "identifier": "3645278A11",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0652482",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0752681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.