DR. JOHN P MULKERN (NPI# 1467443861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467443861 |
| Entity Type | Individual |
| Full Name | DR. JOHN P MULKERN |
| Credential | MD |
| Practice Address |
700 Congress St Ste 303 Quincy MA 02169-0909 |
| Practice Telephone | 6177704411 |
| Practice Fax Number | 6177868793 |
| Mailing Telephone | 6177704411 |
| Mailing Fax Number | 6177868793 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 80109 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3131602 | 05 | |
| MA | HPHC | 70451 | 01 |
| TUFTS | 80109 | 01 | |
| MA | BCBS | J14803 | 01 |
| MA | UNITED | 0100518 | 01 |
| MA | CIGNA | 463720 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003844234 | John Matthew Mulkern | Counselor | 45 Merrimack St, Suite 200, Lowell, MA 01852-1729 | 2006-06-28 |
| Street Address |
700 CONGRESS ST STE 303 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459321 | Harold Barthold | Radiology | 700 Congress St, Suite 101, Quincy, MA 02169-0909 | 2005-07-06 |
| 1730474826 | Isabel Anais Lamour | Internal Medicine | 700 Congress St, Suite 103, Quincy, MA 02169-0909 | 2011-06-16 |
| 1003083270 | Mitesh Mahesh Kabadi | Internal Medicine | 700 Congress St, Suite 301 & 302, Quincy, MA 02169-0909 | 2008-05-15 |
| 1437378452 | Quincy Surgical Associates, Inc | Surgery | 700 Congress St, Suite 304, Quincy, MA 02169-0909 | 2007-04-25 |
| 1275665135 | Xinping Ren | Internal Medicine | 700 Congress St, Suite 301, Quincy, MA 02169-0909 | 2007-03-09 |
| 1538257704 | Barbara A. Lordan | Nurse Practitioner | 700 Congress St, Suite 301, Quincy, MA 02169-0909 | 2006-10-11 |
| 1598773426 | Carolyn J Dolan | Nurse Practitioner | 700 Congress St, Suite 301, Quincy, MA 02169-0909 | 2006-08-04 |
| 1699759910 | George Francis Gales Jr. | Internal Medicine | 700 Congress St, Quincy, MA 02169-0909 | 2005-11-30 |
| 1467442186 | Anthony J Dragone | Surgery | 700 Congress St, Ste 304, Quincy, MA 02169-0909 | 2005-10-25 |
| 1114917879 | Thomas E Fitzgerald | Surgery | 700 Congress St, Ste 304, Quincy, MA 02169-0909 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1699189332 | Amy North | Family Medicine | 927 Broadway St Ste 120, Quincy, IL 62301-2728 | 2014-06-19 |
| 1093064370 | Kelly Lynne Piontek | Family Medicine | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2012-09-02 |
| 1558538496 | Jeffrey Lewis Wheeler | Family Medicine | Rr 1 Box 92, Quincy, MO 65735-9712 | 2008-05-09 |
| 1730389107 | Maria Vazquez-scott | Family Medicine | 512 N 11th St, Suite B, Quincy, IL 62301 | 2007-07-23 |
| 1255448650 | Wallace Allyn Newkirk | Family Medicine | 908 Tenth Ave Sw, Quincy, WA 98848 | 2006-08-23 |
| 1922114750 | Alan Richardson | Family Medicine | 331 S 36th Street Suite 6, Knapheide Family Wellness Cen, Quincy, IL 62301 | 2006-08-22 |
| 1831109347 | Matthew Philip Cormier | Family Medicine | 326 N 24th St, Quincy, IL 62301-3140 | 2006-08-08 |
| 1619985702 | Zakiah S. Ali | Family Medicine | 636 Hampshire St, Suite 201, Quincy, IL 62301-3054 | 2006-08-04 |
| 1740298942 | Steven R. Ginos | Family Medicine | 4800 Maine St, Quincy, IL 62305-5875 | 2006-08-03 |
| Find all providers in QUINCY | ||||
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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.