MR. DOUGLAS WAYNE MULLIN (NPI# 1316051006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316051006 |
Entity Type | Individual |
Full Name | MR. DOUGLAS WAYNE MULLIN |
Credential | C.O. |
Practice Address |
3802 Amelia Ave Suite B Lafayette IN 47905-5772 |
Practice Telephone | 7654047285 |
Mailing Telephone | 7654047285 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2007-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
15097 | IN | Other Service Providers |
Street Address |
3802 AMELIA AVE SUITE B |
City | LAFAYETTE |
State | IN |
Zip Code | 47905-5772 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427055201 | Midwest Brace and Limb Inc | Durable Medical Equipment & Medical Supplies | 3802 Amelia Ave, Suite B, Lafayette, IN 47905-5772 | 2005-07-07 |
1801078274 | Midwest Brace & Limb Inc | Durable Medical Equipment & Medical Supplies | 3802 Amelia Ave, Suite B, Lafayette, IN 47905-5772 | 2007-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
Find all providers in zip 47905 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
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1831714153 | Leslie Boyd | Specialist | 6137 Crawfordsville Rd Ste 143, Indianapolis, IN 46224-3731 | 2020-06-11 |
1528681152 | Taqusia Sharkey | Specialist | 8429 Castleton Corner Dr, Indianapolis, IN 46250-3580 | 2020-05-18 |
1154971778 | Laquita Barnes | Specialist | 8319 Michigan Rd, Indianapolis, IN 46268-3635 | 2019-09-16 |
1972167344 | Tanika Mcbee | Specialist | 1447 Sherman St, Hammond, IN 46320-2208 | 2019-04-30 |
1619454493 | Andrea Smith | Specialist | 3619 N Arlington Ave, Indianapolis, IN 46218-1806 | 2018-07-24 |
1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
1336516426 | Brittiny Clinton | Specialist | 6520 E 82nd St, Suite 212, Indianapolis, IN 46250-3600 | 2015-08-25 |
1487883641 | Brenda L Buehler | Specialist | 100 W 28th St, Jasper, IN 47546-1415 | 2009-07-09 |
1194340554 | Complete Beauty Services, LLC | Specialist | 6137 Crawfordsville Rd Ste 143, Indianapolis, IN 46224-3731 | 2020-06-11 |
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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.