KOSTIKA MULO (NPI# 1205498326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205498326 |
| Entity Type | Individual |
| Full Name | KOSTIKA MULO |
| Credential | DO |
| Practice Address |
2750 E Beltline Ave Ne Grand Rapids MI 49525-8614 |
| Practice Telephone | 6162677104 |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
5151014070 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2750 E BELTLINE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458576 | David Robert Franzblau | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2005-12-22 |
| 1609491000 | Spectrum Health Hospitals | Audiologist-Hearing Aid Fitter | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-06-11 |
| 1740801034 | Darla Wheeler | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-28 |
| 1831719970 | Lauren Offerle | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-18 |
| 1861011611 | Dania Mallick | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-12 |
| 1295364008 | Brian Wideman | Student in an Organized Health Care Education/Training Program | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2020-04-03 |
| 1720637176 | Kristin Carolynn Kenny | Physician Assistant | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-09-09 |
| 1639721087 | Maria Elisa Samaniego Izurieta | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-07-15 |
| 1750933107 | Yao Cheng | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-07-15 |
| 1487216503 | Anvita Potluri | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2019-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1518377746 | Audrey Kay Sanders | Psychiatry & Neurology | 220 Cherry St Se # 1, Grand Rapids, MI 49503 | 2014-04-28 |
| 1598101115 | Rebecca Smith Tang | Psychiatry & Neurology | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2013-05-22 |
| 1497901110 | Jahandar Saifollahi | Psychiatry & Neurology | Saddle Back Center, Building 751-e Kenmore Avenue, S.e., Grand Rapids, MI 49546-2391 | 2008-08-13 |
| 1528008281 | Herman Sullivan | Psychiatry & Neurology | 200 Cherry St Se, Grand Rapids, MI 49503 | 2006-06-08 |
| 1144269432 | Rajeev Deveshwar | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Spectrum Health Medical Group Neurovascular/stroke Offi, Grand Rapids, MI 49503-2561 | 2006-06-05 |
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1255388062 | John Visser | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 | 2006-05-27 |
| 1295792026 | Neurological Associates of West Mi, PC | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-04-26 |
| 1467427088 | Evelyn Panagsagan Navarro | Psychiatry & Neurology | 3200 Eagle Park Dr Ne Ste 103, Grand Rapids, MI 49525 | 2006-02-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on KOSTIKA MULO.
| 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.