MICHAEL R MCMULLIN (NPI# 1518919752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518919752 |
| Entity Type | Individual |
| Full Name | MICHAEL R MCMULLIN |
| Practice Address |
403 W 4th St St Charles MN 55972-2127 |
| Practice Telephone | 5079323810 |
| Mailing Telephone | 5079323810 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9486 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780053777 | Michael David Mcmullin | Massage Therapist | 21707 103rd Avenue Ct E Ste B201, Graham, WA 98338-8308 | 2015-09-19 |
| 1609877562 | Michael Dee Mcmullin | Obstetrics & Gynecology | 10510 Jefferson Ave, Newport News, VA 23601-3102 | 2005-08-02 |
| 1861542011 | Michael John Mcmullin | Chiropractor | 4132 Katella Ave, Suite 102, Los Alamitos, CA 90720 | 2007-01-11 |
| Street Address |
403 W 4TH ST |
| City | ST CHARLES |
| State | MN |
| Zip Code | 55972-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801847660 | Lindy Hankel | Family Medicine | 403 W 4th St, St Charles, MN 55972-2127 | 2006-05-15 |
| 1316990971 | Victoria J Hagstrom | Family Medicine | 403 W 4th St, St Charles, MN 55972-2127 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619179801 | City of St. Charles | Ambulance | 830 Whitewater Ave, Saint Charles, MN 55972-1129 | 2007-06-01 |
| 1023250503 | Modern Dental Professionals, Minnesota PC | Dentist | 931 Whitewater Ave, Saint Charles, MN 55972-1130 | 2009-03-31 |
| 1154557932 | Andrea Marie Peters | Dentist | 931 Whitewater Ave, Saint Charles, MN 55972-1130 | 2009-06-07 |
| 1164473344 | Ggnsc St. Charles LLC | Skilled Nursing Facility | 525 Bluff Ave, St Charles, MN 55972-1325 | 2006-05-13 |
| 1841735578 | Nsh Whitewater LLC | Skilled Nursing Facility | 525 Bluff Ave, Saint Charles, MN 55972-1325 | 2017-01-04 |
| 1982873337 | St. Charles Family Chiropractic | Chiropractor | 213 E 6th St, Saint Charles, MN 55972-1403 | 2008-02-29 |
| 1326268392 | Eric Omdahl | Chiropractor | 213 E 6th St, Saint Charles, MN 55972-1403 | 2007-05-01 |
| 1720128135 | Jeffrey Devine | Chiropractor | 213 E 6th St, Saint Charles, MN 55972-1403 | 2007-02-07 |
| 1083063440 | Courtney Layne Andrews | Dentist | 936 Church Ave, Saint Charles, MN 55972-1430 | 2016-06-07 |
| 1861535569 | Countys of Winona & Olmsted | Local Education Agency (LEA) | 600 E 6th St, St. Charles, MN 55972-1471 | 2007-02-14 |
| Find all providers in zip 55972 | ||||
| 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 |
|---|---|---|---|---|
| 1851799738 | Neil Alan Paulsen | Physician Assistant | 2000 W Main St Ste M, St Charles, IL 60174-1773 | 2014-12-09 |
| 1821632175 | Alyssa Nolte | Physician Assistant | 2000 W Main St Ste M, St Charles, IL 60174-1773 | 2019-10-30 |
| 1477043057 | Alexis Marie Sampson | Physician Assistant | 2000 W Main St Ste M, St Charles, IL 60174-1773 | 2018-05-18 |
| 1184136996 | Debra Smalley | Physician Assistant | 2900 Foxfield Rd Ste 100, St Charles, IL 60174-5799 | 2017-11-02 |
| 1669923280 | Alex K Joseph | Physician Assistant | 2000 W Main St, St Charles, IL 60174-1775 | 2016-10-19 |
| 1205292059 | Brooke N Johnson | Physician Assistant | 2900 Foxfield Rd Ste 100, St Charles, IL 60174-5799 | 2016-01-10 |
| 1962836353 | Archana Patel | Physician Assistant | 2000 W Main St, Suite M, St Charles, IL 60174-1775 | 2013-08-21 |
| 1386705085 | Steve W Thiel | Physician Assistant | 2570 Foxfield Rd, Suite 100, St Charles, IL 60174 | 2006-12-13 |
| 1144381823 | Amy Lynne Frazer | Physician Assistant | 2570 Foxfield Rd, Ste 100, St Charles, IL 60174 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 55972 |
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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.