Michael Sean Mullin (NPI# 1619985728, PAC ID# 0244123727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1619985728 |
| PAC ID by PECOS | 0244123727 |
| Professional Enrollment ID | I20040206000894 |
| Full Name | Michael Sean Mullin |
| Organization Legal Name | MEMORIAL PHYSICIANS PLLC |
| Address |
1470 N 16th Ave Suite D Yakima WA 98902-1381 |
| Phone Number | 5095746000 |
| Gender | M |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 4789733494 |
| Number of Group Practice Members | 116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500036 | YAKIMA VALLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381 | 5095746000 | MEMORIAL PHYSICIANS PLLC |
| Organization Legal Name | MEMORIAL PHYSICIANS PLLC |
| Physicians | 119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Jette-kelly | Pulmonary Disease | Memorial Physicians Pllc | 303 Holton Ave, Yakima, WA 98902-3239 |
| Courtney Elizabeth Lombardi | Nurse Practitioner | Memorial Physicians Pllc | 1515 W Yakima Ave, Yakima, WA 98902-2950 |
| Caolae Jenniemarie Jones | Nurse Practitioner | Memorial Physicians Pllc | 101 N 65th Ave, Yakima, WA 98908-3014 |
| John W Topping Iii | Otolaryngology | Memorial Physicians Pllc | 1601 Creekside Loop, Yakima, WA 98902-4882 |
| Carly Mikela Ingalls | Obstetrics/gynecology | Memorial Physicians Pllc | 3003 Tieton Dr, Suite 230, Yakima, WA 98902-3684 |
| Jennifer L Pontarolo | Family Medicine | Memorial Physicians Pllc | 1008 S 38th Ave, Yakima, WA 98902-3953 |
| Brandon William Propper | Vascular Surgery | Memorial Physicians Pllc | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 |
| Kelly A Timmons | Rheumatology | Memorial Physicians Pllc | 1470 N 16th Ave D, Lakeview, Yakima, WA 98902-1381 |
| Jeffrey M Ventre | Physical Medicine and Rehabilitation | Memorial Physicians Pllc | 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381 |
| Daniel G Doornink | Internal Medicine | Memorial Physicians Pllc | 4003 Creekside Loop, Yakima, WA 98908-3962 |
| Street Address |
1470 N 16TH AVE SUITE D |
| City | YAKIMA |
| State | WA |
| Zip | 98902-1381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Ventre | Physical Medicine and Rehabilitation | Memorial Physicians Pllc | 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381 |
| De-ann R Williams | Internal Medicine | Memorial Physicians Pllc | 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381 |
| Biju Kunhiraman | Endocrinology | Memorial Physicians Pllc | 1470 N 16th Ave, Yakima, WA 98902-1381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Richard Peay | Nurse Practitioner | Ideal Telemedicine Services LLC | 2609 River Rd, Yakima, WA 98902-1133 |
| Michael S Shultis | Physician Assistant | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| John W Adkison | Hand Surgery | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Karen Marie Rice | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Daniel Pak | Diagnostic Radiology | Yakima Valley Radiology Inc PC | 1211 N 16th Ave, Ohana Memorials Mammography Services, Yakima, WA 98902-1347 |
| Kristy L Scott | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Kristina M Simmons | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Shane A Sigler | Physician Assistant | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Gene Griffiths | Orthopedic Surgery | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Steven J Quinlan | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Find all physicians in zip 98902 | |||
| City | YAKIMA |
| Zip Code | 98902 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | YAKIMA + PHYSICAL MEDICINE AND REHABILITATION |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.