DR. WILLIAM RUSSELL MCMULLEN (NPI# 1295825156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295825156 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM RUSSELL MCMULLEN |
| Other Name | DR. RUSSELL MCMULLEN |
| Credential | M.D. |
| Practice Address |
1959 Ne Pacific St University of Washington Med Center Box 356123 Seattle WA 98195-6123 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065984000 |
| Practice Fax Number | 2065984569 |
| Mailing Telephone | 2065984000 |
| Mailing Fax Number | 2065984569 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00017518 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8390502 | 05 | |
| INTERNAL ID-MOTOR VEHICLE ID | 5482 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082834 | William Mcmullen | Psychologist | 109 Antrim St, Cambridge, MA 02139-1133 | 2018-05-05 |
| 1962729715 | William Robert Mcmullen | Pharmacist | 3000 Orchard Lake Rd, Keego Harbor, MI 48320-1244 | 2010-05-03 |
| 1316139371 | William Virgil Mcmullen | Optometrist | 5965 W Ray Rd, Suite 26, Chandler, AZ 85226-1829 | 2007-08-14 |
| 1063440188 | William Mcmullen | Clinical Neuropsychologist | 2100 Webster St, Ste 115, San Francisco, CA 94115-2373 | 2006-06-29 |
| 1013911072 | William Wynn Mcmullen | Ophthalmology | 555 E Medical Center Blvd, Suite 101, Webster, TX 77598-4367 | 2005-06-08 |
| Street Address |
1959 NE PACIFIC ST UNIVERSITY OF WASHINGTON MED CENTER BOX 356123 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637298 | Divis Kaur Khaira | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195 | 2005-05-23 |
| 1225639628 | Alexandra Christina Schenck | Speech-Language Pathologist | 1959 Ne Pacific St, 3rd Floor, Ne 300, Seattle, WA 98195 | 2020-11-03 |
| 1245831692 | Lindsey Marie Graff | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1841891165 | Yip Han Lee | Nurse Anesthetist, Certified Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1003415316 | Thuy Duong Hoang Nguyen | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-19 |
| 1982201968 | Timothy Shan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-03 |
| 1245847326 | Erika Patterson | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-5063 | 2020-09-23 |
| 1932716032 | Poonam Gill | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-09-23 |
| 1962018119 | Vivian Dao | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| 1558977843 | Angela Schwartz | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
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| 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 |
|---|---|---|---|---|
| 1518372416 | John Raymond Avant Storey | Emergency Medicine | 3300 Meridian Ave N, Apt 204, Seattle, WA 98103-9150 | 2014-06-30 |
| 1346650017 | Anna Condino | Emergency Medicine | Emergency Services Northwest, 1550 N 115th Street, A150, Seattle, WA 98133 | 2014-05-05 |
| 1497184725 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 3050 Ne 127th St, Seattle, WA 98125-4415 | 2013-11-07 |
| 1578996211 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 610 1st Ave N, Seattle, WA 98109-4001 | 2013-08-16 |
| 1770926602 | Nicholas Granzella | Emergency Medicine | 201 16th Ave E # Chm, Seattle, WA 98112-5226 | 2013-04-10 |
| 1669815882 | Brandy Cluka | Emergency Medicine | 325 9th Ave # 359702, Seattle, WA 98104-2420 | 2013-04-08 |
| 1285991711 | Carolan Rachel Hass | Emergency Medicine | 4755 Fauntleroy Way Sw Unit 110, Seattle, WA 98116-4669 | 2012-04-22 |
| 1265798391 | Sean Tan Nguyen | Emergency Medicine | 325 Ninth Ave., Ms# 359702, Seattle, WA 98104-2420 | 2012-04-03 |
| 1952698243 | Travis Allen Omura | Emergency Medicine | 809a Nw 53rd St, Seattle, WA 98107-3644 | 2011-07-07 |
| 1629361761 | Blaise Bellows | Emergency Medicine | 3235 37th Pl S, Seattle, WA 98144-7017 | 2011-05-23 |
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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.