Active NPI
Peter Joesph Muelleman
- Dermatology Physician
- Independence, MO
National Provider Identifier
1962426841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD R6F98
- Practice address
- 19101 E Valley View Pkwy Ste a
Independence, MO 64055-6907 - Phone
- (816) 478-1830
- Fax
- (816) 478-8429
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
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 |
|---|---|---|---|
| MD R6F98 | MO | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1962426841",
"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": {
"last_name": "MUELLEMAN",
"first_name": "PETER",
"middle_name": "JOESPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "MD R6F98",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 31, 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.