MR. KEITH BRIAN MULL (NPI# 1427342187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427342187 |
| Entity Type | Individual |
| Full Name | MR. KEITH BRIAN MULL |
| Credential | SA |
| Practice Address |
5759 Cedar Ln Columbia MD 21044-2912 |
| Mailing Address |
7401 Hawkins Dr Hanover MD 21076-1522 |
| Practice Telephone | 4107407890 |
| Mailing Telephone | 2404466936 |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
20282 | MS | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5759 CEDAR LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144691650 | Gregory Tyler Mann | Specialist/Technologist, Other | 200 Liberty Hill Dr, Columbia, KY 42728-9215 | 2015-10-09 |
| 1053875120 | Smita Patel | Specialist/Technologist, Other | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791104 | Capital Region Surgical Assistants LLC | Specialist/Technologist, Other | 903 Hillside Lake Ter Apt 605, Gaithersburg, MD 20878-5242 | 2020-08-18 |
| 1083186217 | A1 Surgical Services L.L.C. | Specialist/Technologist, Other | 6710 Oxon Hill Rd #150, Oxon Hill, MD 20746 | 2018-12-28 |
| 1124511209 | Alana Marie Burkett | Specialist/Technologist, Other | 2984 Kincaid Dr, Saint Charles, MD 20603-5784 | 2018-06-12 |
| 1699294405 | Sam Sahel Meftah | Specialist/Technologist, Other | 5408 Bradley Blvd, Bethesda, MD 20814-1002 | 2017-09-12 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1528583218 | Angel Gustavo Barrera Ventura | Specialist/Technologist, Other | 6611 Chestnut Ave, Lanham, MD 20706-1025 | 2017-08-03 |
| 1285155051 | 360 Surgical Services LLC | Specialist/Technologist, Other | 3206 Tower Oaks Blvd Ste 100, Rockville, MD 20852-4255 | 2017-07-03 |
| 1902332539 | Michael Younger | Specialist/Technologist, Other | 12502 Willowbrook Rd Ste 590, Cumberland, MD 21502-6594 | 2017-05-02 |
| 1407391501 | Mariona Walker | Specialist/Technologist, Other | 11404 Dunloring Pl, Upper Marlboro, MD 20774-5757 | 2016-12-28 |
| 1114476470 | Jhony Augustin | Specialist/Technologist, Other | 1904 Hampshire Dr, Hyattsville, MD 20783-2030 | 2016-09-28 |
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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.