DR. JENNIFER ROSE MULLINAX (NPI# 1174770374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174770374 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ROSE MULLINAX |
| Credential | MD |
| Practice Address |
571 S Floyd St Suite 445 Louisville KY 40202-3818 |
| Mailing Address |
917 Willow Springs Dr Apt A Louisville KY 40242-7911 |
| Practice Telephone | 5028528450 |
| Mailing Telephone | 5046441469 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
46269 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
571 S FLOYD ST SUITE 445 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896592 | Karen W Bibb | Pediatrics | 571 S Floyd St, Suite 342, Louisville, KY 40202-3818 | 2005-07-26 |
| 1407372923 | Leigh Anne Stout | Genetic Counselor, MS | 571 S Floyd St, Louisville, KY 40202 | 2017-08-16 |
| 1326570995 | Brooke Gustafson | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2017-04-01 |
| 1528590460 | Matthew Dean Jackson | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2017-03-30 |
| 1689106494 | Tyler Joseph Burr | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste. 412, Louisville, KY 40202-3818 | 2017-03-30 |
| 1992236418 | Judith M Kabat | Pediatrics | 571 S Floyd St, Ste. 412, Louisville, KY 40202 | 2017-03-26 |
| 1851822787 | Myriam Andrea Garland | Pediatrics | 571 S Floyd St, Suite 412, Louisville, KY 40202-3818 | 2017-03-22 |
| 1043752660 | Kathryn Warren | Genetic Counselor, MS | 571 S Floyd St, Suite 100, Louisville, KY 40202-3818 | 2016-11-14 |
| 1225481054 | Jennifer Marie Hockensmith | Nurse Practitioner | 571 S Floyd St, Suite #342, Louisville, KY 40202-3818 | 2016-07-17 |
| 1083077002 | Kelsey Field | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588519 | Salvatore J. Bertolone Jr. | Pediatrics | 210 E Gray St, Ste 601, Louisville, KY 40202-3902 | 2005-06-17 |
| 1225394950 | University of Louisville Physicians, Inc. | Pediatrics | 601 S Floyd St, Suite 403, Louisville, KY 40202-1835 | 2012-04-06 |
| 1134485865 | University of Louisville Physicians, Inc. | Pediatrics | 601 S Floyd St, Suite 403, Louisville, KY 40202-1835 | 2012-04-06 |
| 1225232630 | Michael Angelo Cacdac Huang | Pediatrics | 411 E Chestnut St # 4b, Louisville, KY 40202-1713 | 2007-06-12 |
| 1235331984 | Kerry Kaye Mcgowan | Pediatrics | 411 E Chestnut St # 4b, Louisville, KY 40202-1713 | 2007-06-04 |
| 1871632844 | Pediatric Hematology-oncology Specialists, Psc | Pediatrics | 601 S Floyd St, Suite 403, Louisville, KY 40202-1835 | 2007-02-06 |
| 1841339710 | Bone Marrow Transplant, Psc | Pediatrics | 601 S Floyd St, Suite 403, Louisville, KY 40202-1835 | 2007-02-06 |
| 1912969726 | William Tsun-yan Tse | Pediatrics | 411 E Chestnut St # 4b, Louisville, KY 40202-1713 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356653430 | Caryn Elizabeth Sorge | Pediatrics | 740 South Limeston J457a, Division of Pediatric Hematology &oncology, Lexington, KY 40536 | 2010-07-06 |
| 1730244344 | Lars M Wagner | Pediatrics | Kentucky Clinic Ofc J-457, 740 S. Limestone, Lexington, KY 40536-0284 | 2006-12-26 |
| 1285165621 | April M. Evans | Pediatrics | University of Kentucky 800 Rose Street, Lexington, KY 40536 | 2017-03-27 |
| 1518266980 | University of Kentucky | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2011-03-24 |
| 1750541421 | Kentucky Medical Services Foundation | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2008-06-16 |
| 1093973240 | Kentucky Medical Services Foundation | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2008-05-23 |
| 1134149784 | Martha Frances Greenwood | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-19 |
| 1467472134 | John August D'orazio | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-19 |
| 1104843291 | John Donald Geil | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-16 |
| 1205853637 | Jeffrey Arnold Moscow | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-15 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.