NPIMap

Organization Active NPI

Peter J Muelleman

  • Dermatology Physician
  • Independence, MO
National Provider Identifier
1821201948
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD R6F98 Issued in MO
Legal business name
PETER J MUELLEMAN
Practice address
19101 E Valley View Pkwy Ste a
Independence, MO 64055-6907
Phone
(816) 478-1830
Fax
(816) 478-8429
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Peter J Muelleman, M.D.
Title
Owner
Phone
(816) 478-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD R6F98 MO Primary

Addresses

Primary practice location

19101 E Valley View Pkwy Ste a
Independence, MO 64055-6907

Mailing address

19101 E Valley View Pkwy Ste a
Independence, MO 64055-6907
Phone (816) 478-1830

Other names 1

  • Affiliated Dermatology and Skin Cancer Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

19101 E Valley View Pkwy
Ste A
Independence, MO 64055
Phone (816) 478-1830

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1821201948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 E VALLEY VIEW PKWY STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556907",
            "telephone_number": "816-478-1830",
            "fax_number": "816-478-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 E VALLEY VIEW PKWY STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556907",
            "telephone_number": "816-478-1830",
            "fax_number": "816-478-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J MUELLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MUELLEMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-478-1830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "MD R6F98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Dermatology and Skin Cancer Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.