MATTHEW GLENN MULLINIX (NPI# 1245461151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245461151 |
| Entity Type | Individual |
| Full Name | MATTHEW GLENN MULLINIX |
| Practice Address |
1/24 Infantry Battalion Fort Wainwright AK 99703 |
| Mailing Address |
2441 Baby Bell Dr North Pole AK 99705-8406 |
| Practice Telephone | 2105633085 |
| Mailing Telephone | 2105633085 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457893 | Matthew Mullinix | Nurse Anesthetist, Certified Registered | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2006-06-17 |
| Street Address |
1/24 INFANTRY BATTALION |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1245884824 | Benjamin Wiest Barlow | Physician Assistant | 1060 Gaffney Rd Stop 7440, Fort Wainwright, AK 99703-5007 | 2019-07-31 |
| 1588179535 | John David Boswell | Physician Assistant | 4076 Neely Road, Fort Wainwright, AK 99703 | 2017-12-12 |
| 1235656166 | Robert Louis Gipson II | Physician Assistant | 1060 Gaffney Rd Stop 7440, Fort Wainwright, AK 99703-5007 | 2017-08-22 |
| 1952858615 | Patrick Degen Bushman | Physician Assistant | 1060 Gaffney Rd, #7440, Fort Wainwright, AK 99703-5002 | 2016-09-09 |
| 1043764939 | Laurence Preston Keim | Physician Assistant | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-08-08 |
| 1225433907 | Raymond Oberle | Physician Assistant | 3406 Alder Ave, Fort Wainwright, AK 99703 | 2014-10-24 |
| 1831520220 | Kaitlyn E. Gamber | Physician Assistant | 4076 Neely Rd., Fort Wainwright, AK 99703 | 2013-12-10 |
| 1023356797 | Momodoulamin Si Drammeh | Physician Assistant | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2013-01-30 |
| 1184994402 | Brian Michael Herbert | Physician Assistant | 1060 Gaffney Rd Stop 7440, Fort Wainwright, AK 99703-5007 | 2012-01-03 |
| Find all providers in FORT WAINWRIGHT | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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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.