Active NPI
Howard Warren Mueller, M.D., PH.D.
- Emergency Medicine Physician
- Boone, NC
National Provider Identifier
1790987683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 200300672
- Practice address
- 336 Deerfield Rd
Dept. of Emergency Medicine
Boone, NC 28607-5008 - Phone
- (336) 716-4195
- Fax
- (336) 716-3202
- NPI assigned
- Jun 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18554 | MS | |
| Emergency Medicine Physician | 207P00000X | 200300672 | NC | Primary |
| Emergency Medicine Physician | 207P00000X | 4301091476 | MI |
Addresses
Primary practice location
336 Deerfield Rd
Dept. of Emergency Medicine
Boone, NC 28607-5008
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790987683 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18554 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finest Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Davie Medical Center | Past | Accepting new patients | |
| Epmg of Michigan, P.C. | Emergency Medicine | Past | Accepting new patients |
| Memorial Hospital at Gulfport | Emergency Medicine | Past | Accepting new patients |
| Forsyth Emergency Services, P.a. | Emergency Medicine | Past | Accepting new patients |
| Covenant Medical Center, Inc | Past | Accepting new patients | |
| Four Seasons Emergency Associates, PC | Emergency Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Bermuda Run, NC
- NPI 1154326379
-
- Emergency Medicine Physician
- Winston-Salem, NC
- NPI 1649256983
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1609026681
-
- Emergency Medicine Physician
- Cadillac, MI
- NPI 1932207909
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1790987683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-4195",
"fax_number": "336-716-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 DEERFIELD RD",
"address_2": "DEPT. OF EMERGENCY MEDICINE",
"city": "BOONE",
"state": "NC",
"postal_code": "286075008",
"telephone_number": "336-716-4195",
"fax_number": "336-716-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "HOWARD",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-03",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "18554",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "200300672",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301091476",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790987683",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.