MR. WILLIAM R MULLEN PA-C NPI 1144255373

NPI Information

NPI: 1144255373
Provider Name: MR. WILLIAM R MULLEN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
718 SMYTH RD
MANCHESTER, NH
ZIP 03104
Phone: (603) 624-4366
Get Directions

MR. William R Mullen, PA-C is a surgical physician assistant in Manchester, NH. MR. William R Mullen, PA-C NPI is 1144255373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

718 SMYTH RD
MANCHESTER, NH
ZIP 03104-098
Phone: (603) 624-4366

The NPI 1144255373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	0507	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1801952692	OTHER		NSC PROVIDER LOCATION #
2	1841320207	OTHER	NEW HAMPSHIRE	NSC PROVIDER LOCATION #
3	1932256914	OTHER	NEW HAMPSHIRE	NSC PROVIDER LOCATION #
4	1861558645	OTHER	NEW HAMPSHIRE	NSC PROVIDER LOCATION #
5	30333016	MEDICAID	NEW HAMPSHIRE
6	1881772242	OTHER	NEW HAMPSHIRE	NSC PROVIDER LOCATION #
7	1922164797	OTHER	NEW HAMPSHIRE	NSC PROVIDER LOCATION #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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