MR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT NPI 1013159193

Physician Assistant in Jblm, WA

NPI 1013159193 Individual Male Physician Assistant

About MANSURU MUSTAPHA

Mansuru Mustapha is a primary care provider established in Jblm, Washington and his medical specialization is physician assistant. The NPI number of Mansuru Mustapha is 1013159193 and was assigned on April 2009. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

A primary care provider (PCP) like Mr. Mansuru Mustapha Physician Assistant sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Mansuru Mustapha is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013159193

Provider NameMR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT
Provider Location Address9119 MIL PARK AVE WINDER CLINIC -RAIDER CLINIC JBLM, WA 98433
Provider Mailing AddressMADIGAN ARMY CENTER 9040 REID ST ATTN: MCHJ-CLQ-C TACOMA, WA 98431
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-03-2009
Last Update Date05-30-2013


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

MR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT
9119 MIL PARK AVE
WINDER CLINIC -RAIDER CLINIC
JBLM, WA
ZIP 98433
Phone: (253) 477-0800

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Mailing Address

MR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT
MADIGAN ARMY CENTER 9040 REID ST
ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431
Phone: (253) 968-2252
Fax: (253) 968-3278



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
VAD000MEDICARE UPIN (02)

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245663830MADIGAN ARMY MEDICAL CTR
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)9119 MIL PARK AVE BLDG 9119
JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 477-0803
1326594680 MITCHELL T MARKS PA-C
Individual
Physician Assistant9119 MIL PARK AVE
JOINT BASE LEWIS MCCHORD, WA 98433
(253) 477-0800
1720590920MR. DANE CAMERON
Individual
Dental Hygienist9119 MIL PARK AVE FULTON DENTAL
JBLM, WA 98433
(253) 966-9960
1124506340DR. MATTHEW DANIEL WAITE DDS
Individual
Dentist9119 MIL PARK AVE JOINT BASE LEWIS MCCHORD
TACOMA, WA 98433
(253) 966-9960
1215204755 SCOTT DAVID FOWLER P.A.
Individual
Physician Assistant9119 MIL PARK AVE
TACOMA, WA 98433
(253) 477-0902
1457997066 JENNIFER RENAE SAUCIER
Individual
Family Medicine9119 MIL PARK AVE
TACOMA, WA 98433
(360) 556-0359
1114532934 ASHTON GRAHAM SHORT DMD
Individual
Dentist (General Practice)9119 MIL PARK AVE
JBLM, WA 98433
(253) 966-9960

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.