DR. DAVID ALAN MULLEN (NPI# 1891760237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891760237 |
| Entity Type | Individual |
| Full Name | DR. DAVID ALAN MULLEN |
| Credential | D.O. |
| Practice Address |
30 N Allen St Bonne Terre MO 63628-1210 |
| Practice Telephone | 5733583343 |
| Practice Fax Number | 5733585458 |
| Mailing Telephone | 5733583343 |
| Mailing Fax Number | 5733585458 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36676 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 242084929 | 05 | |
| MO | MERCY HEALTH PLAN | A10298 | 01 |
| MO | HEALTHCARE USA | 13015V21878 | 01 |
| MO | MERCY CARE PLUS | 700678 | 01 |
| MO | HARMONY HEALTH PLAN | 325136 | 01 |
| MO | CMR | 431815767 | 01 |
| MO | UNITED HEALTH CARE | 0130012 | 01 |
| MO | HEALTHLINK, INC. | 101523 | 01 |
| MO | GROUP HEALTH PLAN | 367V40311 | 01 |
| MO | GREAT WEST LIFE INS | 431815767 | 01 |
| MO | AETNA | 4393019 | 01 |
| MO | RAILROAD MEDICARE | 080123004 | 01 |
| MO | BC.BS OF MO | 20351 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407922123 | David E Mullen | Psychologist | 1257 S Tamiami Trail, Sarasota, FL 34239-2219 | 2006-11-27 |
| 1295823912 | David R. Mullen | Psychologist | 606 Northeast Blvd, Clinton, NC 28328-2023 | 2006-10-10 |
| 1356803365 | David Beckham Mullen | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2019-04-01 |
| 1699148908 | David Mullen | Physical Therapist | 5330 Ne Prescott St, Portland, OR 97218-2158 | 2015-11-09 |
| 1861720740 | David Thomas Mullen | Counselor | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2009-12-03 |
| 1780691741 | David James Mullen | Psychiatry & Neurology | 1001 Yale Blvd Ne, Albuquerque, NM 87106-3825 | 2006-08-02 |
| 1043242134 | David T Mullen | Dentist | 16 Sunny Valley Rd, New Milford, CT 06776-3323 | 2006-07-07 |
| 1891753240 | David Joshua Mullen | Radiology | 49 Lake Ave, Greenwich, CT 06830-4501 | 2006-05-03 |
| 1821092610 | David S Mullen | Podiatrist | 464 Wolcott Rd, Wolcott, CT 06716-2626 | 2005-06-09 |
| Street Address |
30 N ALLEN ST |
| City | BONNE TERRE |
| State | MO |
| Zip Code | 63628-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366521429 | Bonne Terre Medical Associates, P.C. | Clinic/Center | 30 N Allen St, Bonne Terre, MO 63628-1210 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1295092500 | Jak Properties Inc | In Home Supportive Care | 522 Benham St, Suite B, Bonne Terre, MO 63628 | 2012-04-12 |
| 1013121599 | Joseph Richard Engel | Dentist | 20 W Johnson St, Bonne Terre, MO 63628 | 2007-05-10 |
| 1215093844 | Debra Long Morgan | Dentist | 20 West Johnson Street, Bonne Terre, MO 63628 | 2006-12-28 |
| 1497811459 | Robert Oliver Greenwald | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2006-12-27 |
| 1255964508 | American Nursing & Rehab LLC | Assisted Living Facility | 10 Lake Drive, Bonne Terre, MO 63628 | 2020-02-14 |
| 1962679746 | Robert O Greenwald Dds PC | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2008-05-12 |
| 1427045004 | Pairat Vibulakaopun | Internal Medicine | 527 Benham St, Bonne Terre, MO 63628-1205 | 2005-09-29 |
| 1124014030 | Kenny Ratana | Radiology | 527 Benham St # B, Bonne Terre, MO 63628-1205 | 2005-09-26 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| Find all providers in zip 63628 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386784106 | Charles William Chastain IIi | Family Medicine | 3000 K Hwy, Bonne Terre, MO 63628-3624 | 2007-02-08 |
| 1972159341 | April Brannum | Family Medicine | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 | 2019-08-12 |
| 1104071935 | Bonne Terre Health Clinic LLC | Family Medicine | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | BONNE TERRE |
| Zip Code | 63628 |
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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.