Rodney J Musselman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01054627A Issued in IN

Practice address

3556 W 9800 S
Suite 101
South Jordan, UT 84095-3211

Phone

(801) 567-9780

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1912974528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S",
            "address_2": "SUITE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953211",
            "telephone_number": "801-567-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S",
            "address_2": "SUITE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953211",
            "telephone_number": "801-567-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "RODNEY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054627A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7999692-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200442080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Mullineaux
• Kaylee Mund
• Annelise Parkes Murphy, CMHC
• Ryan McNiven Murphy, M.D.
• Michelle Elizabeth Murray, M.D.
• Leslie Peterson Myers, AMFT
• Mytrex Inc
• Mytrex Inc
• Mytrex Inc
• Mytrex Inc

• Family Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.