Active NPI
Karl J Mueller, M.D.
- Plastic and Reconstructive Surgery Physician
- Wheeling, WV
National Provider Identifier
1891780755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 18443
- Practice address
- 40 Medical Park
Suite 200
Wheeling, WV 26003-6392 - Phone
- (304) 242-0590
- Fax
- (304) 242-9740
- NPI assigned
- Sep 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 18443 | WV | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35061196M | OH |
Addresses
Primary practice location
40 Medical Park
Suite 200
Wheeling, WV 26003-6392
Mailing address
40 Medical Park
Suite 200
Wheeling, WV 26003-6392
Phone (304) 242-0590
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114136000 | Medicaid | WV | |
| 0217581 | Medicaid | OH | |
| 18443 | Other | HMO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35061196M | OH | MD | Plastic and Reconstructive Surgery Physician |
| 18443 | WV | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1891780755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK",
"address_2": "SUITE 200",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-242-0590",
"fax_number": "304-242-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK",
"address_2": "SUITE 200",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-242-0590",
"fax_number": "304-242-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "KARL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WV",
"license": "18443",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OH",
"license": "35061196M",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114136000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0217581",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "18443",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.