ROBERT MULLAN DPM INC (NPI# 1164415782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164415782 |
| Entity Type | Organization |
| Organization Name | ROBERT MULLAN DPM INC |
| Practice Address |
1400 El Paseo Rd Las Cruces NM 88001-6018 |
| Practice Telephone | 5755222776 |
| Practice Fax Number | 5755222271 |
| Mailing Telephone | 5755222776 |
| Mailing Fax Number | 5755222271 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | ROBERT B MULLAN JR. (OWNER) |
| Authorized Official Telephone | 5755222271 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS OF NM | NM015A04 | 01 |
| NM | RR MEDICARE | DA5269 | 01 |
| Street Address |
1400 EL PASEO RD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710360037 | Yvonne Miriaku Muojieje | Podiatrist | 4500 N Sonoma Ranch Blvd, Las Cruces, NM 88011-7334 | 2015-07-06 |
| 1396146957 | Stephanie Gonzalez | Podiatrist | 4151 Camino Coyote Ste B, Las Cruces, NM 88011-7096 | 2014-09-12 |
| 1033105812 | Robert B Mullan | Podiatrist | 2445 S Telshore Blvd, Las Cruces, NM 88011 | 2005-09-27 |
| 1205833886 | David H. Fisher | Podiatrist | 335 N Solano Dr, Las Cruces, NM 88001-2930 | 2005-06-28 |
| 1568465862 | David L Deetz | Podiatrist | 710 S Alameda Blvd, Las Cruces, NM 88005-2928 | 2005-05-31 |
| 1073743704 | Yolanda J Chacon | Podiatrist | 2800 Doral Ct Ste A, Las Cruces, NM 88011-8616 | 2009-07-15 |
| 1497744288 | Rolando C Cadena | Podiatrist | 2930 Hillrise Dr, Ste4, Las Cruces, NM 88011-4776 | 2005-10-14 |
| 1689667792 | Douglas Terry Gillis | Podiatrist | 780 S Walnut St, Suite 3, Las Cruces, NM 88001-1425 | 2005-08-24 |
| 1053304261 | Hsiao-chun Yu | Podiatrist | 780 S Walnut St, Suite 3, Las Cruces, NM 88001-1425 | 2005-08-24 |
| 1871586081 | Arroyo Foot & Ankle Clinic Inc | Podiatrist | 780 S Walnut St, Ste 3, Las Cruces, NM 88001-1425 | 2005-08-24 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.