JENNIFER LATRISE MULLEN (NPI# 1588892483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588892483 |
| Entity Type | Individual |
| Full Name | JENNIFER LATRISE MULLEN |
| Credential | DO |
| Practice Address |
660 Beaver Creek Cir Suite 100 Maumee OH 43537-1745 |
| Practice Telephone | 4198916221 |
| Practice Fax Number | 4198933394 |
| Mailing Telephone | 4198916221 |
| Mailing Fax Number | 4198933394 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2017-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 34010645 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841554615 | Jennifer Elizabeth Mullen | Developmental Therapist | 11476 S Apopka Vineland Rd, Suite 118, Orlando, FL 32836-7006 | 2012-06-27 |
| 1992346860 | Jennifer Mullen | Specialist | 266 White Plains Rd Ste A-2, Eastchester, NY 10709-4423 | 2019-10-02 |
| 1851809032 | Jennifer Mullen | Nurse Anesthetist, Certified Registered | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2018-01-22 |
| 1023441086 | Jennifer Leone Mullen | Social Worker | 2624 9th Ave S, Fargo, ND 58103-2350 | 2013-08-14 |
| 1619250057 | Jennifer N Mullen | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2011-09-22 |
| 1578579512 | Jennifer M Mullen | Nurse Practitioner | 2720 Plaza Dr, #2100, Wausau, WI 54401-4158 | 2006-07-31 |
| Street Address |
660 BEAVER CREEK CIR SUITE 100 |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219991 | Donald A Doneff | Family Medicine | 660 Beaver Creek Cir, Suite 110, Maumee, OH 43537-1745 | 2005-07-21 |
| 1043686710 | Kristi Lorenc | Nurse Practitioner | 660 Beaver Creek Cir, #110, Maumee, OH 43537-1745 | 2015-08-18 |
| 1740573567 | Jeffrey Scott Burnell | Family Medicine | 660 Beaver Creek Cir, # 110, Maumee, OH 43537-1745 | 2011-05-26 |
| 1639496979 | Arminee Apoian | Obstetrics & Gynecology | 660 Beaver Creek Cir, # 200, Maumee, OH 43537-1745 | 2010-04-27 |
| 1295051662 | Shannon Michelle Connole | Obstetrics & Gynecology | 660 Beaver Creek Cir, Suite 200, Maumee, OH 43537-1745 | 2010-04-10 |
| 1568588804 | Christine Susanne Stahle | Pediatrics | 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745 | 2007-03-21 |
| 1356485478 | Promedica Central Physicians, LLC | Pediatrics | 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745 | 2007-02-20 |
| 1962543702 | Promedica Central Physicians, LLC | Family Medicine | 660 Beaver Creek Cir, Suite 110, Maumee, OH 43537-1745 | 2007-02-12 |
| 1477694891 | Promedica Central Physicians, LLC | Obstetrics & Gynecology | 660 Beaver Creek Cir, Suite 200, Maumee, OH 43537-1745 | 2007-02-09 |
| 1396737300 | Antoinette L Medaglia | Pediatrics | 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745 | 2005-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669902052 | Abd-el-khalek Elagamy | Pediatrics | 660 Beaver Creek Cir Ste 100, Maumee, OH 43537-1746 | 2017-06-18 |
| 1679901649 | Monclova Road Pediatrics | Pediatrics | 5757 Monclova Rd Ste 10, Maumee, OH 43537-1863 | 2013-10-29 |
| 1043496342 | Fort Morgan Pediatric Clinic PC | Pediatrics | 3564 Deer Creek Dr, Maumee, OH 43537-8979 | 2008-01-16 |
| 1295879716 | Promedica Central Physicians, LLC | Pediatrics | 650 Beaver Creek Cir, Suite 130, Maumee, OH 43537-1734 | 2007-02-17 |
| 1013913243 | Fadia M Abaza | Pediatrics | 1661 Holland Rd, Ste 100, Maumee, OH 43537-4206 | 2005-06-22 |
| 1508861857 | James Jacob Huttner | Pediatrics | 520 W Sophia St, Maumee, OH 43537-1848 | 2005-06-14 |
| 1558917443 | Vpa PC | Pediatrics | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2019-08-15 |
| 1710531322 | Vpa PC | Pediatrics | 1900 Indian Wood Cir Ste 202b, Maumee, OH 43537-4039 | 2019-07-31 |
| 1093100570 | Kathryn Rachel Davis | Pediatrics | 5757 Monclova Rd Ste 10, Maumee, OH 43537 | 2015-04-01 |
| 1982901278 | Ursula Xanthakos | Pediatrics | 6811 Hickory Hill Dr, Maumee, OH 43537-9717 | 2011-02-22 |
| Find all providers in MAUMEE | ||||
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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.