Active NPI
Stephen Musser DPM, Inc.
- Podiatrist
- North Olmsted, OH
National Provider Identifier
1649342759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-002574
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen C Musser, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00000271 | Other | OH | RAILROAD |
| 3645278A11 | Other | OH | ANTHEM EAST |
| 0652482 | Other | OH | MEDICARE GROUP |
| 0752681 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.