JAMIE KRISTIN MULLIN (NPI# 1205912649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205912649 |
| Entity Type | Individual |
| Full Name | JAMIE KRISTIN MULLIN |
| Other Name | JAMIE KRISTIN HENSEN |
| Credential | MD |
| Practice Address |
5900 S Lake Dr Cudahy WI 53110-3171 |
| Practice Telephone | 4146496588 |
| Mailing Telephone | 4146496588 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2008-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 49720020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BCBS | 005 | 01 |
| Street Address |
5900 S LAKE DR |
| City | CUDAHY |
| State | WI |
| Zip Code | 53110-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513974 | Allan Richard Pasch | Surgery | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2005-07-21 |
| 1386268977 | Dawn Sheffield | Social Worker | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-05-30 |
| 1114546470 | Ally Marthaler-gerads | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-15 |
| 1689293219 | Hilary Korb | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
| 1699394213 | Cynthia Faulkner Cook | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
| 1437655438 | Kimberly J Gehrig | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2018-03-30 |
| 1346792181 | Kathryn Merkel | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-10-27 |
| 1487004172 | Ben M Ramirez | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-06-14 |
| 1366838203 | Cameron M Malone | Hospitalist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2015-04-07 |
| 1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
| 1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
| 1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
| 1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
| 1386722817 | Ami Prag | Family Medicine | 5900 S Lake Drive, #100, Cudahy, WI 53110 | 2006-11-01 |
| 1689780462 | Jack Avak Tertadian | Internal Medicine | 5900 S. Lake Drive, Cudahy, WI 53110 | 2006-08-22 |
| 1326205162 | Edward J Tomasik & Associate Optometrists Inc. | Durable Medical Equipment & Medical Supplies | 3552 E Layton Ave, Cudahy, WI 53110-0200 | 2008-05-20 |
| 1609171453 | Stat Access | Nursing Care | 3429 E Allerton Ave, Cudahy, WI 53110-1017 | 2011-01-25 |
| 1790314599 | John Hoehn | Social Worker | 3754 E Allerton Ave, Cudahy, WI 53110-1109 | 2020-04-03 |
| Find all providers in zip 53110 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.