JEFFREY MULLEN MD NPI 1164537304

NPI Information

  • NPI: 1164537304
  • Provider Name: JEFFREY MULLEN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3200 MACCORKLE AVE SE
    CHARLESTON, WV
    ZIP 25304
  • Phone: (304) 388-4170

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NPI Details

Jeffrey Mullen, MD is an emergency medicine in Charleston, WV with 24 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Jeffrey Mullen, MD NPI is 1164537304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2002

The provider's business location address is:

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-227
Phone: (304) 388-4170

The NPI 1164537304 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.

  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)

The enumeration date for this NPI number is 8/20/2006 and was last updated on 1/3/2017.

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
1207P00000XEmergency Medicine2010WEST VIRGINIAYes

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
14144692MEDICARE PINWEST VIRGINIA
24144693MEDICARE PINWEST VIRGINIA
3P00339854MEDICARE PINWEST VIRGINIA
41068868OTHERWEST VIRGINIAWV DWC
5001884657OTHERWEST VIRGINIAWV BCBS
63810006147MEDICAIDWEST VIRGINIA
74144694MEDICARE PINWEST VIRGINIA
8I19094MEDICARE UPINWEST VIRGINIA
9P00398511MEDICARE PINWEST VIRGINIA

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: 11/21/2025

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