DR. RONALD J MULLIS (NPI# 1093729246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093729246 |
| Entity Type | Individual |
| Full Name | DR. RONALD J MULLIS |
| Other Name | JAY MULLIS |
| Credential | M.D. |
| Practice Address |
3017 N Bob Younkin Dr Suite 101 Fayetteville AR 72703-3926 |
| Practice Telephone | 4795211484 |
| Practice Fax Number | 4795211550 |
| Mailing Telephone | 4795211484 |
| Mailing Fax Number | 4795211550 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C7126 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUALCHOICE | 12445000000 | 01 |
| OK | 100077770A | 05 | |
| MO | 203560800 | 05 | |
| AR | AETNA INDIVIDUAL # | 4347758 | 01 |
| AR | HEALTHLINK | 247267 | 01 |
| AR | 113060001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023114774 | Ronald Gerald Mullis | Physician Assistant | 316 N Broad St, Winder, GA 30680-2150 | 2006-09-16 |
| 1740217744 | Ronald F. Mullis | Anesthesiology | 8401 Market St, Boardman, OH 44512-6725 | 2006-06-26 |
| Street Address |
3017 N BOB YOUNKIN DR SUITE 101 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905587 | Ozark Surgical Associates | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2005-10-10 |
| 1558875344 | Elissa Paige Honea | Audiologist | 3017 N Bob Younkin Dr, Fayetteville, AR 72703-3926 | 2017-12-01 |
| 1265820542 | Heather Layne Hutchison | Nurse Practitioner | 3017 N Bob Younkin Dr, Suite 201, Fayetteville, AR 72703-3926 | 2015-01-08 |
| 1063753739 | Susan Renee Penn | Dietitian, Registered | 3017 N Bob Younkin Dr, Fayetteville, AR 72703-3926 | 2013-03-06 |
| 1639465719 | Chet Alvis Crawford | Family Medicine | 3017 N Bob Younkin Dr, Fayetteville, AR 72703-3926 | 2011-06-27 |
| 1659385821 | Jeffrey D Kellar | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-27 |
| 1386658540 | Wayne A Hudec | Surgery | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-27 |
| 1558385260 | Regina R Hudec | General Practice | 3017 N Bob Younkin Dr, Suite 101, Fayetteville, AR 72703-3926 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| 1275844177 | Yana Mikhaylov | Surgery | 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314-2569 | 2010-06-24 |
| 1043541725 | Janine Nicole Pettiford | Surgery | 325 North Jeff Davis Dr, Fayetteville, GA 30214 | 2010-01-20 |
| 1548410103 | Erin M King | Surgery | 1260 Highway 54 W Ste 100, Fayetteville, GA 30214-4513 | 2008-09-19 |
| 1881851699 | Timothee J Friesen | Surgery | 1265 Highway 54 W Ste 309, Fayetteville, GA 30214-4537 | 2008-05-20 |
| 1790954352 | Obinna Chukwudi Igwilo | Surgery | 7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162 | 2008-02-27 |
| 1942387055 | Steven Anthony Battaglia | Surgery | 1061 Brunswick Dr, Fayetteville, OH 45118 | 2006-11-01 |
| 1225118441 | David Crump | Surgery | 108 Medical Center Blvd Ste G25, Fayetteville, TN 37334-2741 | 2006-10-16 |
| 1265544035 | Yong S Kwon | Surgery | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2006-08-31 |
| 1346261989 | Rudy Theodore Cobb | Surgery | 305 College St W, Fayetteville, TN 37334-2911 | 2006-07-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| 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.