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DR. GEORGE DALE MULDER M.D. NPI 1629007208


NPI Information

NPI: 1629007208
Provider Name: DR. GEORGE DALE MULDER, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
802 N RIVERSIDE RD.
STE G50
SAINT JOSEPH, MO
ZIP 64507
Phone: (816) 671-4888
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DR. George Dale Mulder, M.D. is a surgery in Saint Joseph, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. George Dale Mulder, M.D. NPI is 1629007208. 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:

802 N RIVERSIDE RD.
STE G50
SAINT JOSEPH, MO
ZIP 64507-553
Phone: (816) 671-4888
Fax: (816) 671-4890

The enumeration date for this NPI number is 7/3/2006 and was last updated on 2/28/2011.


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
12086S0127XSurgeryTrauma SurgeryR7297MISSOURINo
2208600000XSurgeryR7297MISSOURIYes

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
110001089301OTHERMISSOURICOMMUNITY HEALTH PLAN
2P00208226OTHERMISSOURIRR MEDICARE
3B55252MEDICARE UPIN
4100206190BMEDICAIDKANSAS
57016925MEDICARE ID-TYPE UNSPECIFIED
6201022217MEDICAIDMISSOURI

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: 5/5/2024

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