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DAVID H MULL M.D. NPI 1104974641


NPI Information

NPI: 1104974641
Provider Name: DAVID H MULL, M.D.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Organization: WK RED RIVER CARDIOVASCULAR SURGEONS

PECOS Registration: Yes

Address:
2751 ALBERT L. BICKNELL DRIVE
SUITE 5C
SHREVEPORT, LA
ZIP 71103
Phone: (318) 227-9777
Get Directions

David H Mull, M.D. is a thoracic surgery cardiothoracic vascular surgery in Shreveport, LA with 41 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. David H Mull, M.D. NPI is 1104974641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

2751 ALBERT L. BICKNELL DRIVE
SUITE 5C
SHREVEPORT, LA
ZIP 71103-920
Phone: (318) 227-9777
Fax: (318) 459-1188

The NPI 1104974641 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33519)

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/7/2012.


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
1174400000XSpecialist19445ALABAMANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)017580LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11810010OTHERALABAMAUHC
251039815OTHERALABAMABCBS OF AL
3B65309OTHERALABAMAHEALTHSPRINGS OF AL
40119079MEDICAIDMISSISSIPPI
5B65309MEDICARE UPINALABAMA
65536685OTHERALABAMAAETNA PROVIDER #
7000039815MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE PROVIDER #
8000039815MEDICAIDALABAMA
9330004725MEDICARE PINALABAMA

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: 11/14/2023

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.