Musterion Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MUSTERION MEDICAL, LLC

Practice address

32 S Main St
Water Valley, MS 38965-2946

Phone

(662) 816-6866

NPI assigned

Mar 29, 2016

Last updated

Mar 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Glenn Moore

Title

Owner

Phone

(662) 816-6866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1740643709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 UNIVERSITY AVE # 161",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554109",
            "telephone_number": "662-816-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-816-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTERION MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-816-6866"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda McCullough, PTA
• Carrie Aden McDaniel, PT, ATC
• Jennifer S McGavock, P.T
• Med-Mart Home Care Inc
• Mississipp State Department of Health
• North Mississippi Foot Specialists PC
• George Robert Orndorff Jr., DC
• Demetrica Stokes Pegues, FNP
• Tammy Oates Perkins
• Pharmacy Management Group (Total Care Pharmacy of Water Valley)

• Durable Medical Equipment & Medical Supplies in Water Valley, MS
• Providers in Water Valley, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.