SEAN MULLENDORE (NPI# 1821081365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821081365 |
| Entity Type | Individual |
| Full Name | SEAN MULLENDORE |
| Credential | M.D. |
| Practice Address |
3308 Samson Way Suite 101 Bellevue NE 68123-3194 |
| Mailing Address |
Po Box 642117 Omaha NE 68164-8117 |
| Practice Telephone | 4028271577 |
| Practice Fax Number | 4028983134 |
| Mailing Telephone | 4027174377 |
| Mailing Fax Number | 4027174317 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2008-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
21562 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
3308 SAMSON WAY SUITE 101 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338166 | Earl R Thompson | Physician Assistant | 3308 Samson Way, Bellevue, NE 68123-3234 | 2005-07-07 |
| 1700264892 | Mark Weilage | Psychologist | 3308 Samson Way, Suite 101, Bellevue, NE 68123-3234 | 2015-05-11 |
| 1497034045 | John E Nunamaker | Counselor | 3308 Samson Way, Suite 203, Bellevue, NE 68123-3234 | 2011-08-15 |
| 1740596576 | Lindsay Grace Stayton | Social Worker | 3308 Samson Way, Bellevue, NE 68123-3234 | 2010-08-31 |
| 1013243922 | Kim Groenjes | Nurse Practitioner | 3308 Samson Way, Suite 203, Bellevue, NE 68123-3234 | 2009-10-28 |
| 1316169196 | Peggy Helen Jones | Obstetrics & Gynecology | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-05-02 |
| 1932320066 | Sunil Kumar Jagadesh | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-05-02 |
| 1437373081 | Khalil John Burhan | Family Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-04-13 |
| 1043360043 | John Harris | Internal Medicine | 3308 Samson Way, Bellevue, NE 68123-3234 | 2007-01-11 |
| 1356491351 | Jeffrey Stearnes | Obstetrics & Gynecology | 3308 Samson Way, Suite 201, Bellevue, NE 68123-3234 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265450514 | Lawrence J Greenblatt X | Family Medicine | 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 | 2006-07-17 |
| 1053500223 | Gary Richard Schuster | Family Medicine | 1600 116th Ave Ne, Ste 202, Bellevue, WA 98004-3056 | 2007-10-23 |
| 1396803797 | Broadway Sports and Internal Medicine | Family Medicine | 1600 116th Ave Ne, Suite 202, Bellevue, WA 98004-3014 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055953 | New West Sports Medicine & Orthopaedic Surgery, P.C. | Family Medicine | 2810 W. 35th St, Kearney, NE 68845-2886 | 2006-05-27 |
| 1932201803 | Family and Sport Medicine, PC | Family Medicine | 918 20th Street, Gothenburg, NE 69138-1237 | 2006-09-02 |
| 1518913847 | Alan James Williamson | Family Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2006-05-26 |
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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.