MR. JOHN JOSEPH MULLEN III (NPI# 1669897823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669897823 |
| Entity Type | Individual |
| Full Name | MR. JOHN JOSEPH MULLEN III |
| Credential | ATC |
| Practice Address |
480 Hawthorn St Brain and Spine Center North Dartmouth MA 02747-3713 |
| Practice Telephone | 5089103434 |
| Mailing Telephone | 5089103434 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
565 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1346658390 | John Frederick Mullen | Nurse Practitioner | 1181 Marsh Rd, Redwood City, CA 94063-4432 | 2014-07-22 |
| 1962623702 | John A Mullen | Respiratory Therapist, Certified | 617 Highpointe Cir., Langhorne, PA 19047 | 2007-05-01 |
| 1467410845 | John T Mullen | Surgery | Beth Israel Deaconess, 330 Brookline Ave St 912, Boston, MA 02215 | 2006-05-03 |
| 1053454850 | John Mullen | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-02-14 |
| 1770591588 | John R. Mullen | Radiology | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-08-04 |
| 1689682759 | John Edward Mullen | Physician Assistant | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-04 |
| 1790710986 | John E Mullen | Orthopaedic Surgery | 131 Kent Rd, New Milford, CT 06776-3485 | 2006-07-12 |
| 1124085345 | John O Mullen | Orthopaedic Surgery | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2006-05-01 |
| 1013982636 | John Steele Mullen | Urology | 515 Minor Ave, Suite 200, Seattle, WA 98104-2120 | 2006-02-17 |
| Street Address |
480 HAWTHORN ST BRAIN AND SPINE CENTER |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902761 | Jessica Lynn Keough | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2019-06-26 |
| 1144766312 | Arielle Spadea | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2017-01-12 |
| 1992251078 | Dayana Nanda Laxshman Siriwardhana | Registered Nurse | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2016-08-29 |
| 1396104956 | Tina L Howe | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2016-02-11 |
| 1407234131 | Katelyn Oliveira | Psychiatry & Neurology | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2015-05-14 |
| 1013312396 | Matthew Viglianti | Physician Assistant | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2014-10-28 |
| 1407262694 | Praneetha Arge | Psychiatry & Neurology | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2014-07-08 |
| 1063751923 | Selena Marie Machia | Physician Assistant | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2013-02-12 |
| 1427392034 | Michael James Carr | Nurse Practitioner | 480 Hawthorn St, Southcoast Physicians Group, Inc., North Dartmouth, MA 02747-3713 | 2012-11-20 |
| 1053662833 | Lori Anne Oliver | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417197765 | Jennifer Ann Beaudry | Specialist/Technologist | 524 Old Fall River Rd, North Dartmouth, MA 02747-1232 | 2009-02-26 |
| 1831226471 | Kevin Pickering | Specialist/Technologist | 285 Old Westport Rd, North Dartmouth, MA 02747-2356 | 2007-02-28 |
| 1821125444 | Jason Anthony Ferro | Specialist/Technologist | 285 Old Westport Rd, North Dartmouth, MA 02747-2356 | 2007-02-28 |
| 1063548220 | Wendy M Kirby | Specialist/Technologist | 285 Old Westport Rd, North Dartmouth, MA 02747-2356 | 2007-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
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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.