DR. MICHAEL BRYAN MULLEN (NPI# 1174029078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174029078 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRYAN MULLEN |
| Credential | MD |
| Practice Address |
358 Duke Rd Lexington KY 40502 |
| Mailing Address |
1025 Spruce St Philadelphia PA 19107-6703 |
| Practice Telephone | 8592182143 |
| Practice Fax Number | 8593230440 |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 1174029078 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026544 | Michael Mullen | Social Worker | 4335 San Pedro Dr Ne Apt E7, Albuquerque, NM 87109-2682 | 2020-03-02 |
| 1790073070 | Michael James Mullen | Pharmacist | 2200 Westchester Dr, St 126, High Point, NC 27262-7099 | 2011-07-20 |
| 1790815462 | Michael Romney Mullen | Dentist | 2039 Trawood, El Paso, TX 79935 | 2007-03-06 |
| 1962550384 | Michael Joseph Mullen IIi | Dentist | 943 West Countyline Road, Warmmister Township, Hatboro P O, PA 19040-1008 | 2007-01-08 |
| 1942282694 | Michael Lewis Mullen | Chiropractor | 304 Grant Rd, Suite 1, East Wenatchee, WA 98802-5384 | 2005-11-17 |
| 1316390917 | Michael Campbell Mullen | Hearing Instrument Specialist | 406 Blankenbaker Pkwy, Middletown, KY 40243-1881 | 2016-07-19 |
| 1417356825 | Michael Edward Mullen | Physician Assistant | 856 Century Drive, Mechanicsburg, PA 17055-4505 | 2014-08-21 |
| 1215203195 | Michael Peter Mullen | Physician Assistant | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2012-03-26 |
| 1629269758 | Michael G Mullen | Counselor | 5 W Cayuga St, Oswego, NY 13126-2031 | 2007-08-05 |
| 1396952347 | Michael Powell Mullen | Dentist | 2350 Professional Dr, Suite 400, Roseville, CA 95661-7747 | 2007-05-17 |
| Street Address |
358 DUKE RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| 1053853028 | Anika Gooch | Social Worker | 118 Old Lafayette Ave Ste 1, Lexington, KY 40502 | 2016-11-08 |
| Find all providers in zip 40502 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
| 1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
| 1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
| 1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
| 1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
| 1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
| 1760746150 | Jessica Leigh Lange | Otolaryngology | 120 N Eagle Creek Dr Ste 102, Lexington, KY 40509-1827 | 2012-06-29 |
| 1073872875 | Alok Tejinder-singh Saini | Otolaryngology | 740 South Limestone Otolaryngology, Lexington, KY 40536-1501 | 2012-05-14 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on DR. MICHAEL BRYAN MULLEN.
| 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.