NPIMap

Individual provider Active NPI

Jennifer Muhly, M.D.

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1750375168
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420005 Issued in PA
Practice address
37 Highland Ave
Washington, PA 15301-4062
Phone
(724) 223-1067
Fax
(724) 223-1088
NPI assigned
Aug 31, 2005
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD420005 PA Primary

Addresses

Primary practice location

37 Highland Ave
Washington, PA 15301-4062

Mailing address

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Other identifiers 3

IdentifierTypeStateIssuer
068499D4ZOtherPAMEDICARE
MU1907624OtherPAHIGHMARK
1016239810003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080820000664 PA Practitioner - Family Practice 3072518968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerville Clinics, Inc.Group PAC ID 7214837202, 44 clinicians

Practice addresses (Care Compare)

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

1070 Old National Pike Rd
Fredericktown, PA 15333-2114
Phone (724) 632-6801

37 Highland Ave
Washington, PA 15301-4062
Phone (724) 223-1067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics Inc Family Medicine CurrentSince Aug 7, 2006 Accepting new patients
Centerville Clinics, Inc CurrentSince Aug 7, 2006 Accepting new patients
Centerville Clinics, Inc. Family Medicine Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients

Locations

1070 Old National Pike
Fredericktown, PA 15333

37 Highland Ave
Washington, PA 15301
Phone (724) 223-1067

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1750375168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801",
            "fax_number": "724-632-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HIGHLAND AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014062",
            "telephone_number": "724-223-1067",
            "fax_number": "724-223-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHLY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "068499D4Z",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "MU1907624",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016239810003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.