Active NPI
Mussman, PLLC
- Plastic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1821539156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 49090
- Legal business name
- MUSSMAN, PLLC
- Practice address
- 9250 N 3Rd St
Suite 1003
Phoenix, AZ 85020-2437 - Phone
- (602) 331-7811
- Fax
- (602) 331-5886
- NPI assigned
- Mar 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Lee Mussman, MD
- Title
- Owner
- Phone
- (602) 331-7811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 49090 | AZ | Primary |
Addresses
Primary practice location
9250 N 3Rd St
Suite 1003
Phoenix, AZ 85020-2437
Mailing address
PO Box 9936
Phoenix, AZ 85068-0936
Phone (602) 331-7811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1144430182
Plastic Surgery
-
- Plastic and Reconstructive Surgery Physician
- Fort Myers, FL
- NPI 1801155064
AZ, Multi-Specialty
-
- Physician Assistant
- Goodyear, AZ
- NPI 1427325638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489968000000",
"number": "1821539156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9936",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850680936",
"telephone_number": "602-331-7811",
"fax_number": "602-331-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 N 3RD ST",
"address_2": "SUITE 1003",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202437",
"telephone_number": "602-331-7811",
"fax_number": "602-331-5886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSSMAN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A",
"authorized_official_last_name": "MUSSMAN",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-331-7811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "49090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.