MR. WILLIAM R MULLEN (NPI# 1144255373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144255373 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM R MULLEN |
| Credential | PA-C |
| Practice Address |
718 Smyth Rd Manchester NH 03104-4098 |
| Practice Telephone | 6036244366 |
| Mailing Telephone | 6036244366 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0507 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NSC PROVIDER LOCATION # | 1801952692 | 01 | |
| NH | NSC PROVIDER LOCATION # | 1841320207 | 01 |
| NH | NSC PROVIDER LOCATION # | 1932256914 | 01 |
| NH | NSC PROVIDER LOCATION # | 1861558645 | 01 |
| NH | 30333016 | 05 | |
| NH | NSC PROVIDER LOCATION # | 1881772242 | 01 |
| NH | NSC PROVIDER LOCATION # | 1922164797 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831417625 | William Cason Mullen | Radiology | 1107 S Peters St, Unit 117, New Orleans, LA 70130-1759 | 2010-05-04 |
| 1205998275 | William Mullen | Marriage & Family Therapist | 3700 Vaca Valley Pkwy, C.o. Kaiser Permanente, Vacaville, CA 95688-9430 | 2006-12-15 |
| 1457362329 | William Mullen | Internal Medicine | 555 E Broadway Ave Ste 229, Jackson, WY 83001 | 2006-08-10 |
| 1760446686 | William Mullen | Anesthesiology | 20 Hospital Dr, Logan, WV 25601-3452 | 2006-04-17 |
| Street Address |
718 SMYTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548743875 | Sarah Ann Soifert | Physician Assistant | 100 Mcgregor St, Manchester, NH 03102-3770 | 2018-09-12 |
| 1215458740 | Felicia F Mingrone | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2017-07-06 |
| 1598211948 | Jamie M. Gumb | Physician Assistant | 185 Queen City Ave, Manchester, NH 03101 | 2016-08-26 |
| 1770933541 | Alyssa Olsen | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2016-06-13 |
| 1356716302 | Mason Dunn-mcdonagh | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-12-02 |
| 1093195182 | Pamela Frappier | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-06-03 |
| 1134511595 | Nicole A. Wizeman | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-02-23 |
| 1053702845 | Andrea Lynch | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4131 | 2015-02-14 |
| 1164812418 | Michael P Cacciola | Physician Assistant | 185 Queen City Ave, Elliot Orthopaedic Surgery, Manchester, NH 03101-7121 | 2015-01-26 |
| 1003228479 | Lauren Jean Welton | Physician Assistant | 100 Hitchcock Way, D-h Manchester, General Surgery, Manchester, NH 03104-4125 | 2014-05-20 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.