JOSEPH P MULLEN III (NPI# 1114970548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114970548 |
| Entity Type | Individual |
| Full Name | JOSEPH P MULLEN III |
| Credential | MD |
| Practice Address |
201 E Grover St Shelby NC 28150-3917 |
| Mailing Address |
406 Johnsfield Rd Shelby NC 28150-6174 |
| Practice Telephone | 7044801087 |
| Practice Fax Number | 7044801150 |
| Mailing Telephone | 7044807678 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 009300769 | NC | Other Service Providers |
| Y | 207P00000X | Emergency Medicine | 9300769 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BSNC | 61311 | 01 |
| NC | 7961311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043497035 | Joseph Micheal Mullen IIi | Marriage & Family Therapist | 6988 Fox Rd, Baxter, MN 56425-9758 | 2008-01-22 |
| 1487701751 | Joseph Mullen | Social Worker | 500 W University Pkwy Ste 1j, Baltimore, MD 21210-3235 | 2007-01-05 |
| 1952354185 | Joseph V Mullen | Chiropractor | 1200 Bustleton Pike, Ste16a, Feasterville, PA 19053-4118 | 2006-05-18 |
| 1528521416 | Joseph Felix Mullen | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1914 | 2019-04-09 |
| 1871721167 | Joseph Daniel Mullen | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2009-06-25 |
| 1972778801 | Joseph Mullen | Psychiatry & Neurology | 183 N York Rd, Elmhurst, IL 60126-2717 | 2008-04-22 |
| 1275693194 | Joseph Mullen | Physician Assistant | 3030 N Circle Dr, Suite 210, Colorado Springs, CO 80909-1177 | 2006-12-11 |
| 1548270671 | Joseph Francis Mullen | Dentist | 196 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-4397 | 2006-08-09 |
| Street Address |
201 E GROVER ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194109 | Benjamin Goldman | Internal Medicine | 201 E Grover St, Shelby, NC 28150-3917 | 2005-06-14 |
| 1225648231 | Elizabeth Dahl | Registered Nurse | 201 E Grover St, Shelby, NC 28150-3917 | 2020-08-04 |
| 1588289920 | Haley Hutchins Blalock | Pharmacist | 201 E Grover St, Shelby, NC 28150-3917 | 2020-06-11 |
| 1386269074 | Kathleen Marie Reitz | Pharmacist | 201 E Grover St, Shelby, NC 28150-3917 | 2020-06-09 |
| 1588289284 | Kaila Hope Kirby | Pharmacist | 201 E Grover St, Shelby, NC 28150-3917 | 2020-06-09 |
| 1053958918 | Brittany Dick | Nurse Practitioner | 201 E Grover St, Shelby, NC 28150-3917 | 2019-12-10 |
| 1548814312 | Elizabeth Ann Weaver | Nurse Practitioner | 201 E Grover St, Shelby, NC 28150-3917 | 2019-07-30 |
| 1184289332 | Austin Allen | Physician Assistant | 201 E Grover St, Shelby, NC 28150-3917 | 2019-05-03 |
| 1003372079 | Katherine Mattingly | Physician Assistant | 201 E Grover St, Shelby, NC 28150-3917 | 2019-02-14 |
| 1871065680 | Rachel Marie Isom | Dietitian, Registered | 201 E Grover St, Shelby, NC 28150-3917 | 2018-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730131137 | Timothy Wenn | Emergency Medicine | 419 Earl Rd, Shelby, NC 28150-6700 | 2006-05-16 |
| 1508824277 | Shelby Emergency Services, LLC | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2006-05-03 |
| 1144720525 | Carolina Cdu Specialists Pa | Emergency Medicine | 201 E Grover St, Shelby, NC 28150 | 2018-02-13 |
| 1700277506 | Mid-ohio Emergency Physicians LLP | Emergency Medicine | 199 W. Main Street, Shelby, OH 44875-1490 | 2015-02-16 |
| 1205227196 | Mid-ohio Emergency Physicians, LLP | Emergency Medicine | 199 W Main St, Shelby, OH 44875-1490 | 2015-02-12 |
| 1235578246 | Matthew Edwin Dean | Emergency Medicine | 201 E Grover St, Shelby, NC 28150-3917 | 2013-06-24 |
| 1346528460 | Emergency Health Partners-lakeshore, Plc | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2011-07-22 |
| 1316264195 | Carolinas Emergency Physicians, P.a. | Emergency Medicine | 201 E Grover St, Shelby, NC 28150-3917 | 2010-05-03 |
| 1346473287 | Nes of Shelby, Inc. | Emergency Medicine | 20 Morris Rd, Shelby, OH 44875-1152 | 2009-08-26 |
| 1275787525 | Richland County Emergency Physicians | Emergency Medicine | 199 W Main St, Shelby, OH 44875-1490 | 2008-11-13 |
| Find all providers in SHELBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.