MRS. MENDY L MULLIS (NPI# 1063744456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063744456 |
| Entity Type | Individual |
| Full Name | MRS. MENDY L MULLIS |
| Other Name | MS. MENDY L BALDWIN |
| Credential | C-PA |
| Practice Address |
202 N West St Odon IN 47562-1032 |
| Mailing Address |
Po Box 760 Washington IN 47501-0760 |
| Practice Telephone | 8126367300 |
| Mailing Telephone | 8122542760 |
| Mailing Fax Number | 8122548636 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001157A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200153250A | 05 |
| Street Address |
202 N WEST ST |
| City | ODON |
| State | IN |
| Zip Code | 47562-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942368469 | Daviess County Hospital | Clinic/Center | 202 N West St, Odon, IN 47562-1032 | 2006-12-05 |
| 1851810055 | Daniell M Summers | Nurse Practitioner | 202 N West St, Odon, IN 47562-1032 | 2017-09-19 |
| 1265769319 | Melissa L Reintjes | Nurse Practitioner | 202 N West St, Odon, IN 47562-1032 | 2009-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260864 | Richard A Potts | Family Medicine | 202 North West St, Odon, IN 47562 | 2006-03-24 |
| 1689642357 | Bryan F Porter | Family Medicine | 202 North West Street, Odon, IN 47562 | 2006-03-09 |
| 1407842164 | Mc Ambulance Service, LLC. | Ambulance | 10770 N 600 E, Odon, IN 47562 | 2005-09-27 |
| 1689749434 | Lisa K Menefee | Dentist | 420 N West St, Odon, IN 47562-1036 | 2006-11-21 |
| 1891984522 | Jennings Dentistry Inc | Dentist | 420 N West St, Odon, IN 47562-1036 | 2007-10-18 |
| 1285853085 | Diane J. Heckley PC | Dentist | 420 N West St, Odon, IN 47562-1036 | 2007-04-24 |
| 1598830390 | Michelle L Harman | Dentist | 420 N West St, Odon, IN 47562-1036 | 2006-11-21 |
| 1790782936 | David Wintergerst | Optometrist | 101 E Elnora St, Odon, IN 47562-1125 | 2005-07-01 |
| 1538219498 | Odon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 101 E Elnora St, Odon, IN 47562-1125 | 2007-01-11 |
| 1952345159 | Odon Pharmacy LLC | Pharmacy | 200 W Main St, Odon, IN 47562-1218 | 2006-06-16 |
| Find all providers in zip 47562 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133894 | Kaylin Michelle Lapel | Physician Assistant | 1540 Orchard Park Dr N, Carmel, IN 46280-1513 | 2020-11-01 |
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1417555996 | Kathleen Wiles | Physician Assistant | 3805 Pine Creek Cir, New Albany, IN 47150-2057 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MENDY L MULLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.