KEVIN MULLEN (NPI# 1093773665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093773665 |
| Entity Type | Individual |
| Full Name | KEVIN MULLEN |
| Credential | PA-C |
| Practice Address |
1210 Boston Providence Tpke Norwood MA 02062-5061 |
| Practice Telephone | 7812550500 |
| Practice Fax Number | 7812550400 |
| Mailing Telephone | 7812550500 |
| Mailing Fax Number | 7812550400 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2070 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497170708 | Kevin Mullen | Specialist/Technologist | 3 Millholland Dr Unit B, Fishkill, NY 12524-1553 | 2014-02-23 |
| 1639276298 | Kevin D Mullen | Internal Medicine | 2500 Metrohealth Dr, Mhmc-medicine/gastroenterology, Cleveland, OH 44109-1900 | 2006-09-17 |
| 1710942701 | Kevin M Mullen | Pediatrics | 1000 Langworthy St, Dubuque, IA 52001 | 2006-04-20 |
| Street Address |
1210 BOSTON PROVIDENCE TPKE |
| City | NORWOOD |
| State | MA |
| Zip Code | 02062-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659358273 | Christopher David Fries Jr. | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2005-12-23 |
| 1689232605 | Caitlin M Neary | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2019-06-04 |
| 1164899050 | Scott Collorone | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2015-08-26 |
| 1003248352 | Gretchen Davidson Platt | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2013-08-08 |
| 1316232077 | Woonsocket Urgent Care | General Practice | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2011-06-10 |
| 1487952347 | Woonsocket Urgent Care | Clinic/Center | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2011-03-02 |
| 1881929586 | Woonsocket Urgent Care, PC | Internal Medicine | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2009-10-14 |
| 1760412084 | Timothy Francis Sullivan | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2006-07-03 |
| 1750318457 | Paul M Vallera | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2006-06-27 |
| 1376597427 | Yusef Haj-darwish | Emergency Medicine | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
| 1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
| 1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
| 1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
| 1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
| 1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
| 1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
| 1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| Find all providers in zip 02062 | ||||
| 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 |
|---|---|---|---|---|
| 1023669645 | Dayna Dreier | Physician Assistant | 13820 County Road 33, Norwood, MN 55368-9710 | 2019-09-25 |
| 1205491412 | Raemond Libranda | Physician Assistant | 1101 Village Rd E, Norwood, MA 02062-2500 | 2019-05-02 |
| 1326576026 | Kelly Ling | Physician Assistant | 1304 Norwest Dr, Norwood, MA 02062-1458 | 2017-05-25 |
| 1710427331 | Kelly Goncalves | Physician Assistant | 1210 Providence Hwy, Norwood, MA 02062-5061 | 2017-03-01 |
| 1932471174 | Beth R Richards | Physician Assistant | 1350 S Aspen St, Norwood, CO 81423-0280 | 2012-02-03 |
| 1306129788 | Madeleine J Rivard | Physician Assistant | 315 Norwood Park South, Brigham and Women's Primary Care Associates At Norwood, Norwood, MA 02062 | 2011-09-22 |
| 1659358273 | Christopher David Fries Jr. | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2005-12-23 |
| 1558973313 | Lindsey Serraino | Physician Assistant | 2000 Joseph E Sanker Blvd, Norwood, OH 45212-1979 | 2020-08-21 |
| 1619525078 | Joseph P Kroell IIi | Physician Assistant | 1210 Providence Hwy, Norwood, MA 02062-5061 | 2019-08-29 |
| 1689232605 | Caitlin M Neary | Physician Assistant | 1210 Boston Providence Tpke, Norwood, MA 02062-5061 | 2019-06-04 |
| Find all providers in NORWOOD | ||||
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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.