DAVID E MULLANE (NPI# 1184664625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184664625 |
| Entity Type | Individual |
| Full Name | DAVID E MULLANE |
| Credential | M.D. |
| Practice Address |
512 Broadway Suite 2 Everett MA 02149-3738 |
| Practice Telephone | 6173873129 |
| Mailing Telephone | 6173873129 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
36602 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
512 BROADWAY SUITE 2 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801953021 | American Diagnsotic Lab., Inc. | Rehabilitation Practitioner | 512 Broadway, Everett, MA 02149-3738 | 2007-01-03 |
| 1700952322 | New England Evaluation Services | Massage Therapist | 512 Broadway, Everett, MA 02149-3738 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497975361 | Rolando I Celis Valdiviezo | Surgery | 1330 Rockefeller Ave Ste 520, Everett, WA 98201 | 2007-04-26 |
| 1396894879 | Anthony J. Roon | Surgery | 1001 N Broadway Ste A3, Everett, WA 98201-1585 | 2007-01-10 |
| 1457338451 | Philip D. Feliciano | Surgery | 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 | 2005-12-30 |
| 1720066616 | William Burley Mcintyre | Surgery | 1321 Colby Ave, Providence Everett Medical Center, Everett, WA 98201-1665 | 2006-01-03 |
| 1649257692 | Robert D. Defrang | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2005-12-29 |
| 1255318317 | James M. Cook Jr. | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815022 | Stephen J. Hoenig, Md, PC | Surgery | 114 Merriam Ave Ste 101, Leominster, MA 01453-3175 | 2020-09-15 |
| 1578084588 | Stephen J. Hoenig, Md, PC | Surgery | 50 Memorial Dr Ste 112, Leominster, MA 01453-2238 | 2017-06-29 |
| 1760776124 | Brad Sherman Oriel | Surgery | 955 Main St Ste G2a, Winchester, MA 01890-1992 | 2011-06-02 |
| 1750697157 | Dorothy Virginia Freeman | Surgery | 21 Washburn Ave, Wellesley, MA 02481-5263 | 2010-08-23 |
| 1245551696 | Khaled A. Yehia Md | Surgery | 178 Savin St Ste 500, Malden, MA 02148-2329 | 2010-06-21 |
| 1932332707 | Usa Vein Clinics of Boston LLC | Surgery | 1208b Vfw Pkwy Ste 300, West Roxbury, MA 02132-4350 | 2009-08-27 |
| 1255563334 | Samuel Schwartz | Surgery | 15 Parkman St # 440, Boston, MA 02114-3117 | 2009-08-21 |
| 1053551838 | Jonathan Paull Gertler | Surgery | 15 Westcliff Rd, Weston, MA 02493-1409 | 2009-03-06 |
| 1093952939 | Sarah Carlson | Surgery | 1400 Vfw Pkwy # 1c-105, West Roxbury, MA 02132-4927 | 2009-01-14 |
| 1437314325 | Sandip T Maru | Surgery | 2 Hospital Dr Ste 2013, Holyoke, MA 01040 | 2008-07-21 |
| Find all providers with the same taxonomy | ||||
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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.