DR. JOHN CRAIG MULLIGAN (NPI# 1659352847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659352847 |
| Entity Type | Individual |
| Full Name | DR. JOHN CRAIG MULLIGAN |
| Credential | D.O. |
| Practice Address |
1005 W Green St Hastings MI 49058-1712 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6168855000 |
| Practice Fax Number | 6168855020 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5101006820 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813120 | John Patrick Mulligan | Physician Assistant | 1 Gustave L Levy Pl Fl 12, New York, NY 10029-6574 | 2020-02-13 |
| 1952871857 | John Edward Mulligan Iv | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2018-12-04 |
| 1720308653 | John Patrick Mulligan | Counselor | 12755 Brookhurst St, Ste. 114, Garden Grove, CA 92840-4857 | 2010-06-02 |
| 1063602274 | John Paul Mulligan | Counselor | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2007-07-25 |
| 1639193642 | John R. Mulligan | Anesthesiology | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2006-07-26 |
| 1689636409 | John C. Mulligan | Specialist | 315 Martin Luther King Jr Way, A2-ntl, Tacoma, WA 98405-4234 | 2006-04-05 |
| 1457331944 | John Paul Mulligan | Emergency Medicine | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2006-01-19 |
| 1427056241 | John Simeon Mulligan Jr. | Radiology | 2200 E Parrish Ave, Building D, Owensboro, KY 42303-1449 | 2005-07-14 |
| Street Address |
1005 W GREEN ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224700 | Steven George Wildern | Specialist | 1005 W Green St, Rm 301, Hastings, MI 49058-1729 | 2005-06-10 |
| 1235676651 | Tami Pettenger | Registered Nurse | 1005 W Green St, Ste 300, Hastings, MI 49058-1712 | 2017-01-24 |
| 1841644184 | Pennock Hospital | Clinic/Center | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2016-04-22 |
| 1124488812 | Pennock Hospital Board of Trustees | Surgery | 1005 W Green St, Hastings, MI 49058-1712 | 2016-02-24 |
| 1821497223 | Diane Hart | Registered Nurse | 1005 W Green St, Hastings, MI 49058-1712 | 2014-08-21 |
| 1215351317 | Roxanne R Gaiski | Advanced Practice Midwife | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2014-02-10 |
| 1437594991 | West Michigan Heart | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2013-05-09 |
| 1649566076 | Jimmie Daniel Woodall | Obstetrics & Gynecology | 1005 W Green St, Ste 301, Hastings, MI 49058-1712 | 2011-06-23 |
| 1215221353 | Pennock Hospital | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2011-06-07 |
| 1265732366 | Spectrum Health Primary Care Partners | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2010-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811398076 | Dlp Conemaugh Miner's Medical Center LLC | Internal Medicine | 290 Haida Ave, Hastings, PA 16646-5610 | 2014-09-08 |
| 1629172960 | The Mary Lanning Memorial Hospital Association | Internal Medicine | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1538785415 | Lakes Cardiology PC | Internal Medicine | 9640 Commerce Rd Ste 106, Commerce Twp, MI 48382-4167 | 2020-06-17 |
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1265803316 | Alpine Cardiology, Pllc | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | 2015-10-15 |
| 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.