Provider Type Icon

MR. PATRICK JAMES MULLEN M.D. NPI 1629069885


NPI Information

NPI: 1629069885
Provider Name: MR. PATRICK JAMES MULLEN, M.D.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

Organization: KOOTENAI HEALTH

PECOS Registration: Yes

Address:
2121 W IRONWOOD CENTER DR
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 625-4680
Get Directions

MR. Patrick James Mullen, M.D. is a hand surgery orthopaedic surgery in Coeur D Alene, ID with 29 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. MR. Patrick James Mullen, M.D. NPI is 1629069885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1995

The provider's business location address is:

2121 W IRONWOOD CENTER DR
COEUR D ALENE, ID
ZIP 83814-639
Phone: (208) 625-4680
Fax: (208) 625-4681

The NPI 1629069885 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.

  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 11/4/2005 and was last updated on 3/1/2021.


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
1207XS0106XOrthopaedic SurgeryHand SurgeryM-8506IDAHOYes
22086S0122XSurgeryPlastic and Reconstructive SurgeryM8506IDAHONo

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
1806468700MEDICAIDIDAHO

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.