MARK S. MUSSELMAN M.D. – NPI #1336256825
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

MARK MUSSELMAN is a physician located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1336256825 to MARK MUSSELMAN on August 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 12 years ago on May 07, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK MUSSELMAN below.

NPI Profile for
MARK S. MUSSELMAN

NPI Number
1336256825
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK S. MUSSELMAN
Credentials
M.D.
Primary location
1701 W. CURTIS ROAD
PEDIATRICS
CHAMPAIGN, IL 61822
Phone: (217) 365-6202 Fax: (217) 326-1234
Mailing address
611 W PARK ST
BWPC
URBANA, IL 61801-2529
Phone: (217) 383-6792 Fax: (217) 383-4752
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
IL 036104715

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.