Michael Owen Musty Sr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20818 Issued in MN

Practice address

10710 Pine Beach Peninsula Loop
East Gull Lake, MN 56401-2027

Phone

(218) 330-1139

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michael Owen Musty Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Rosa Hma Physician Management LLC

  • Family Medicine Physician
  • Pace, FL
  • NPI 1043880347
  NPD (past)
• Santa Rosa Hma Physician Management, LLC

  • Family Medicine Physician
  • Milton, FL
  • NPI 1447365366

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1700947082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 PINE BEACH PENINSULA LOOP",
            "city": "EAST GULL LAKE",
            "state": "MN",
            "postal_code": "564012027",
            "telephone_number": "218-330-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 PINE BEACH PENINSULA LOOP",
            "city": "EAST GULL LAKE",
            "state": "MN",
            "postal_code": "564012027",
            "telephone_number": "218-330-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTY",
        "first_name": "MICHAEL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "20818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MUSTY",
            "middle_name": "OWEN",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathy Buxton
• Kathleen Buxton (A Woman's Choice)
• Mac-Con Properties Inc. (Country Lane Homes)
• Amanda Nelson, MA, LMFT
• Lorraine Sellner, LPCC
• Crystal Ann Waagmeester, PA

• Internal Medicine Physician in East Gull Lake, MN
• Providers in East Gull Lake, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.