DR. KEVIN PATRICK MULVEY (NPI# 1215015490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215015490 |
Entity Type | Individual |
Full Name | DR. KEVIN PATRICK MULVEY |
Credential | MD |
Practice Address |
1440 E Mullan Ave Post Falls ID 83854-9064 |
Mailing Address |
2003 Kootenai Health Way Coeur D Alene ID 83814-6051 |
Practice Telephone | 2086194100 |
Mailing Telephone | 2086254000 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M7649 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE SHIELD OF IDAHO | 10155152 | 01 |
ID | BLUE CROSS OF IDAHO | 54494 | 01 |
ID | 805306201 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
700 W Ironwood Dr Ste 130, Coeur D Alene, ID 838144404 | 2086254700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396716221 | Kevin Jon Mulvey | Podiatrist | 204 N 2nd Ave W, Newton, IA 50208-3032 | 2006-01-30 |
1134365448 | Kevin Joseph Mulvey | Physical Therapist | 2401 River Rd, Suite 102, Eugene, OR 97404-5414 | 2008-12-17 |
Street Address |
1440 E MULLAN AVE |
City | POST FALLS |
State | ID |
Zip Code | 83854-9064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629060256 | Gary Van Heuvelen | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2005-08-19 |
1891203501 | Jerry J Leonardi | Pharmacist | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2018-01-16 |
1982099412 | Corbin Daniel Jacobs | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2015-04-01 |
1790110252 | Travis A Geib | Social Worker | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2013-09-03 |
1417214420 | Nathanael David Gay | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854 | 2012-04-15 |
1104040104 | Jeffrey Warren Allen | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2007-04-12 |
1144309683 | Megan Nichole Whitmore | Physician Assistant | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
Find all providers in zip 83854 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104040104 | Jeffrey Warren Allen | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891857512 | Nathan Bradley Adams | Internal Medicine | 2330 Desoto St, Idaho Falls, ID 83404-7570 | 2006-12-16 |
1669565669 | A. Richard Miranda | Internal Medicine | 706 N College Rd, Suite A, Twin Falls, ID 83301-5824 | 2006-10-02 |
1528075744 | Thomas J Leavitt | Internal Medicine | 284 Buck Run, Sagle, ID 83860 | 2006-08-01 |
1669497194 | Dane J Dickson | Internal Medicine | 380 Walker Drive, Rexburg, ID 83440 | 2006-07-13 |
1588696538 | Jonathan N Swerdloff | Internal Medicine | 308 E Hawaii Ave, Nampa, ID 83686-6013 | 2006-07-07 |
1508809252 | Daniel E Williams | Internal Medicine | 1250 Idaho St, Lewiston, ID 83501-1965 | 2006-06-13 |
1871558239 | Michael L Francisco | Internal Medicine | 651 Memorial Dr, Portneuf Cancer Center, Pocatello, ID 83201 | 2006-04-19 |
1669462362 | Mountain View Hospital LLC | Internal Medicine | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2005-10-24 |
1952307605 | David W. Ririe | Internal Medicine | 500 S 11th Ave Ste 100, Pocatello, ID 83201-4877 | 2005-06-27 |
1477020303 | Maria Teresa Cervantes-fullmer | Internal Medicine | 3245 Channing Way, Idaho Falls, ID 83404-7536 | 2018-10-29 |
Find all providers with the same taxonomy |
City | POST FALLS |
Zip Code | 83854 |
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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.