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MICHAEL EDWARD MULLEN PA-C NPI 1417356825


NPI Information

NPI: 1417356825
Provider Name: MICHAEL EDWARD MULLEN, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
86 THOMAS JOHNSON CT
FREDERICK, MD
ZIP 21702
Phone: (301) 694-8311
Get Directions

Michael Edward Mullen, PA-C is a physician assistant in Frederick, MD with 10 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michael Edward Mullen, PA-C NPI is 1417356825. 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:

86 THOMAS JOHNSON CT
FREDERICK, MD
ZIP 21702-348
Phone: (301) 694-8311
Fax: (301) 694-3537

The NPI 1417356825 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 8/21/2014 and was last updated on 3/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery026100NEW YORKNo
2363A00000XPhysician AssistantMA056918PENNSYLVANIANo
3363AS0400XPhysician AssistantSurgicalOA003308PENNSYLVANIANo
4363AS0400XPhysician AssistantSurgicalMA056918PENNSYLVANIANo
5363AS0400XPhysician AssistantSurgical026100NEW YORKNo
6363A00000XPhysician AssistantC0005476MARYLANDYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.