DR. BRADY C MULLIN (NPI# 1275762999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275762999 |
| Entity Type | Individual |
| Full Name | DR. BRADY C MULLIN |
| Credential | MD |
| Practice Address |
193 Main Street, Suite 16 Norway ME 04268 |
| Mailing Address |
301c Us Route One Scarborough ME 04074-9701 |
| Practice Telephone | 2077432544 |
| Practice Fax Number | 2077435863 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD20315 | ME | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | TRL11285 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
193 MAIN STREET, SUITE 16 |
| City | NORWAY |
| State | ME |
| Zip Code | 04268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349202 | A Life's Compass Pllc | Case Management | 9 Marston St, Norway, ME 04268 | 2018-06-07 |
| 1487170254 | Sharon Beth Skillings | Registered Nurse | 59 Winter St, Norway, ME 04268 | 2017-08-14 |
| 1811368426 | Michelle Y Buescher | Nurse Practitioner | 8 Pikes Hill, Western Maine Family Practice, Norway, ME 04268 | 2015-10-08 |
| 1255665899 | New Communities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Beal Street, Norway, ME 04268 | 2009-09-30 |
| 1205066636 | Michaele J Potvin | Social Worker | 193 Main Street, Suite 9, Norway, ME 04268 | 2009-07-20 |
| 1750596664 | Christopher A Cifizzar Dds Pa | Dentist | 15 Pearl St, Norway, ME 04268 | 2007-05-14 |
| 1316068588 | Mary Clare Clifford | Speech-Language Pathologist | 18 Grove Street, Ot To Play, Norway, ME 04268 | 2007-04-03 |
| 1891823324 | Occupational Health Centers of Sw Pa | Clinic/Center | 29 Winter Street, Norway, ME 04268 | 2007-02-28 |
| 1740349497 | Donna Hilleboe Demuth | Specialist | 129 Valhalla Ln., Box 635, Norway, ME 04268 | 2006-12-08 |
| 1558444950 | Deanna Davis | Dentist | 27 Green St, Norway, ME 04268 | 2006-10-23 |
| Find all providers in zip 04268 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851654933 | Shantanu N Razdan | Surgery | 193 Main St Ste 16, Norway, ME 04268-5647 | 2012-06-22 |
| 1790726479 | Robert Kendrick Story Jr. | Surgery | 19 Green St, Norway, ME 04268-5621 | 2006-06-10 |
| 1417244849 | Jane Lee | Surgery | 181 Main St, Norway, ME 04268-5664 | 2011-07-06 |
| 1285925438 | Stephens Memorial Hospital Association | Surgery | 193 Main St, Ripley Medical Building, Norway, ME 04268-5645 | 2011-04-22 |
| 1043473861 | Eric Karl Osborne | Surgery | 193 Main St, Norway, ME 04268-5645 | 2008-07-02 |
| 1144234303 | Western Maine Multi Medical Specialist | Surgery | 193 Main St, Norway, ME 04268-5645 | 2006-07-27 |
| 1821014739 | Robert C Neilson | Surgery | 193 Main St, Ripley Medical Bldg, Norway, ME 04268-5645 | 2006-07-14 |
| 1194769927 | Ratnakar Rambhau Andalkar | Surgery | 193 Main St, Norway, ME 04268-5645 | 2006-06-15 |
| 1861433617 | Robert Richard Bean | Surgery | 193 Main St, Norway, ME 04268-5645 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1831572882 | Alexander James Wall IIi | Surgery | 463 Manchester Rd, Belgrade, ME 04917-3812 | 2015-07-08 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
| 1386962546 | John Michael Fallon II | Surgery | 818 Congress St Dept Of, Portland, ME 04102-3112 | 2010-05-12 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1104070051 | William Warren Babson Jr. | Surgery | 578 Barn Brook Rd., Sinclair, ME 04779-0079 | 2008-11-05 |
| 1851540108 | Khaldoun Kamal Bekdache | Surgery | 417 State St. Surgery and Trauma Specialists of Maine, Webber West, Suite 340, Bangor, ME 04401 | 2008-09-11 |
| 1083876296 | Michelle Lea Ramirez | Surgery | 24 W Cole Rd Ste 104, Biddeford, ME 04005-9404 | 2008-06-29 |
| 1295905271 | Sebasticook Medical Specialists | Surgery | 470 State Street, Suite 210, Bangor, ME 04401 | 2008-03-06 |
| 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.