Ryan J Mullen (NPI# 1497051536, PAC ID# 5395963516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1497051536 |
| PAC ID by PECOS | 5395963516 |
| Professional Enrollment ID | I20140902000620 |
| Full Name | Ryan J Mullen |
| Organization Legal Name | PROACTIVE CHIROPRACTIC LLC |
| Address |
1201 Seven Locks Rd Suite 212 Rockville MD 20854-2960 |
| Phone Number | 3012170515 |
| Gender | M |
| Medical School | NEW YORK CHIROPRACTIC COLLEGE |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3476684333 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 | 3012170515 | PROACTIVE CHIROPRACTIC LLC |
| Organization Legal Name | PROACTIVE CHIROPRACTIC LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yi Ju Chen | Physical Therapy | Proactive Chiropractic LLC | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 |
| Meaghan Newman | Chiropractic | Proactive Chiropractic LLC | 167 Elm St, Salisbury, MA 01952-1806 |
| Marshall A. Dispenza | Chiropractic | Proactive Chiropractic LLC | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 |
| Joseph Asher Pollack | Chiropractic | Proactive Chiropractic LLC | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 |
| Street Address |
1201 SEVEN LOCKS RD SUITE 212 |
| City | ROCKVILLE |
| State | MD |
| Zip | 20854-2960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yi Ju Chen | Physical Therapy | Proactive Chiropractic LLC | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 |
| Marshall A. Dispenza | Chiropractic | Proactive Chiropractic LLC | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 |
| Sandesh K. Joshi | Nephrology | Washington Nephrology Associates | 1201 Seven Locks Rd, Suite 200, Rockville, MD 20854-2960 |
| Joseph Asher Pollack | Chiropractic | Proactive Chiropractic LLC | 1201 Seven Locks Rd, Suite 212, Rockville, MD 20854-2960 |
| Sarah Pulaski | Psychologist, Clinical | The Neurology Center | 1201 Seven Locks Rd, Suite 101, Rockville, MD 20854-2957 |
| Paul M Goldberg | Allergy/immunology | 1201 Seven Locks Rd, Suite 216, Rockville, MD 20854-2960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Joyce Wenger | Ophthalmology | Potomac Eye Surgeons Pa | 11500 Lake Potomac Dr, Potomac, MD 20854-1223 |
| Lawrence Michael Levinson | Ophthalmology | Potomac Eye Surgeons Pa | 11500 Lake Potomac Dr, Potomac, MD 20854-1223 |
| Janice Hwang | Diagnostic Radiology | Los Robles Radiologic Associates | 12210 Greenbriar Branch Dr, Potomac, MD 20854-1459 |
| Peggy O Heller | Clinical Social Worker | 7715 Whiterim Ter, Potomac, MD 20854-1775 | |
| Gertrude B Summers | Psychologist, Clinical | 10048 Colebrook Ave, Potomac, MD 20854-1807 | |
| David T George | Psychiatry | 10400 Joiners Ln, Potomac, MD 20854-1941 | |
| Holly E Korsvik-wysocki | Diagnostic Radiology | Advanced Radiology Pa | 11913 Tallwood Ct, Potomac, MD 20854-2169 |
| James Yan | Neurology | James Yan, Md Pa | 9322 Sprinklewood Ln, Potomac, MD 20854-2257 |
| Harriet Breslow | Clinical Social Worker | 8712 Harness Trl, Potomac, MD 20854-2553 | |
| Myra Framm | Certified Clinical Nurse Specialist (cns) | 8813 Harness Trl, Potomac, MD 20854-2556 | |
| Find all physicians in zip 20854 | |||
| City | ROCKVILLE |
| Zip Code | 20854 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ROCKVILLE + CHIROPRACTIC |
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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.