Healthcare Provider Details

I. General information

NPI: 1104864396
Provider Name (Legal Business Name): ROBERT ANTHONY MUELLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CLAREMONT ST, SUITE 220 SUTTER VNA & HOSPICE
SAN MATEO CA
94402-1452
US

IV. Provider business mailing address

1900 POWELL ST, SUITE 300 SUTTER CARE AT HOME
EMERYVILLE CA
94608-1815
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-9102
  • Fax: 206-744-9976
Mailing address:
  • Phone: 510-450-8730
  • Fax: 206-744-9976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG52372
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberMD-60135840
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberG52370
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberMD60135840
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: