MICHAEL MULL (NPI# 1134206014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134206014 |
| Entity Type | Individual |
| Full Name | MICHAEL MULL |
| Credential | MD |
| Practice Address |
315 W Old Key Dr Peru IN 46970-9057 |
| Practice Telephone | 7654756963 |
| Practice Fax Number | 7654752833 |
| Mailing Telephone | 7654756963 |
| Mailing Fax Number | 7654752833 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01040504 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100432790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871871582 | Michael Mull | Massage Therapist | 903 Greenwood Ct, Fort Lupton, CO 80621-2302 | 2011-07-28 |
| 1962735191 | Michael Brandon Mull | Optometrist | 2080 Berryhill Road, Montgomery, AL 36117 | 2009-09-04 |
| 1194225342 | Michael Mull | Physician Assistant | 10922 Frankstown Rd, Pittsburgh, PA 15235-3043 | 2018-02-14 |
| 1962477950 | Michael S Mull | Obstetrics & Gynecology | 699 Church St Ne, Ste 220, Marietta, GA 30060-1116 | 2006-02-22 |
| Street Address |
315 W OLD KEY DR |
| City | PERU |
| State | IN |
| Zip Code | 46970-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602062 | William Charles Hoover | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-06-28 |
| 1346621000 | Lisa Ann Jones | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2015-06-17 |
| 1780988428 | Elizabeth A. Jernagan | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2011-01-10 |
| 1558661744 | Doris M Carden | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2010-10-22 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1003140419 | Alliance Healthcare Services Inc | Clinic/Center | 315 W Old Key Dr, Peru, IN 46970-9057 | 2009-10-01 |
| 1629247028 | Cancer Care Group, P.C. | Radiology | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9057 | 2008-02-29 |
| 1730266602 | Lavonne Eddy | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1255418125 | Lloyd Lorenz | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1013094994 | Heather Weber | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1346253630 | Alejandro B Bernal | Family Medicine | 1515 36th Street, Peru, IL 61354 | 2006-08-15 |
| 1891706107 | Jeffrey C Tanzi | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1269 | 2006-08-11 |
| 1689602062 | William Charles Hoover | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-06-28 |
| 1356313787 | David W Smith | Family Medicine | 9 Elm St, Peru, NY 12972-2812 | 2006-02-01 |
| 1023010246 | Mark Ames Meyer | Family Medicine | 1000 N Broadway, Peru, IN 46970-1070 | 2005-06-01 |
| 1962948935 | Porcha Leggett | Family Medicine | 1000 N Broadway, Peru, IN 46970-1070 | 2017-01-13 |
| 1215354246 | Grant M Reed | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1200 | 2014-03-27 |
| 1700141009 | Andrew Zidow | Family Medicine | 1650 Midtown Rd, Peru, IL 61354-1200 | 2012-07-12 |
| 1912295270 | Illinois Valley Community Hospital | Family Medicine | 920 West St, Suite 311, Peru, IL 61354-2763 | 2011-07-20 |
| Find all providers in PERU | ||||
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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.