Organization Active NPI

Elmer Anthony Musarra II

  • Plastic and Reconstructive Surgery Physician
  • Marietta, GA
National Provider Identifier
1760883201
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
013069 Issued in GA
Legal business name
ELMER ANTHONY MUSARRA II
Practice address
120 Vann St NE
Suite 150
Marietta, GA 30060-7357
Phone
(770) 421-1242
Fax
(770) 424-6652
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mr. Elmer Anthony Musarra II, M.D.
Title
M.D.
Phone
(770) 421-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 013069 GA Primary

Addresses

Primary practice location

120 Vann St NE
Suite 150
Marietta, GA 30060-7357

Mailing address

120 Vann St NE
Suite 150
Marietta, GA 30060-7357
Phone (770) 421-1242

National Provider Directory

National Provider Directory

Locations

120 Vann St NE
Ste 150
Marietta, GA 30060
Phone (770) 421-1242

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1760883201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE",
            "address_2": "SUITE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607357",
            "telephone_number": "770-421-1242",
            "fax_number": "770-424-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE",
            "address_2": "SUITE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607357",
            "telephone_number": "770-421-1242",
            "fax_number": "770-424-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER ANTHONY MUSARRA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "MUSARRA",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "770-421-1242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "013069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.