DR. DONALD JAMES MCMULLIN (NPI# 1518962570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518962570 |
| Entity Type | Individual |
| Full Name | DR. DONALD JAMES MCMULLIN |
| Credential | D.O. |
| Practice Address |
1050 W 10th St Rolla MO 65401 |
| Mailing Address |
1050 W 10th St Attn: Executive Director of Physician Clinics Rolla MO 65401-2905 |
| Practice Telephone | 5733649000 |
| Practice Fax Number | 5732022470 |
| Mailing Telephone | 5733649000 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DO R3A90 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 110087272 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 9072 | 01 |
| MO | HEALTHLINK | 208538 | 01 |
| MO | 241215706 | 05 |
| Street Address |
1050 W 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066037 | Pcrmc Medical Group, Inc | Clinic/Center | 1050 W 10th St, Rolla, MO 65401-2905 | 2020-05-29 |
| 1659857415 | Josie Leann Eoff | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2018-07-16 |
| 1659893758 | Joshua Thomas Turnbaugh | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-07-10 |
| 1700327897 | Emily Wiseman | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-03-09 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1174928857 | Arezo Hesaraki | Dentist | 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | 2014-10-23 |
| 1922416296 | Karen Ulrich | Advanced Practice Midwife | 1050 W 10th St, Rolla, MO 65401-2905 | 2014-07-30 |
| 1093142531 | Meredith Leigh Napierala | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-09-30 |
| 1528409638 | Curtis Morrison | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-07-17 |
| 1194161174 | Dmitry Familtsev | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699043265 | Ruth Stoecker | Internal Medicine | 1110 Soest Road, Rolla, MO 65401-3781 | 2011-12-09 |
| 1790895597 | Syed Z Zahoor Ul Mueen | Internal Medicine | 1050 W 10th St Ste 430, Rolla, MO 65401-2905 | 2006-08-30 |
| 1457302937 | Oluyomi O Olusanya | Internal Medicine | 1060 S Bishop Ave, Rolla, MO 65401-4465 | 2006-05-12 |
| 1508840901 | Mid-missouri Internal Medicine Inc | Internal Medicine | 1050 W 10th St Ste 550, Rolla, MO 65401-2905 | 2005-11-30 |
| 1124561592 | Javier Amhed De La Cruz Martinez | Internal Medicine | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-12-02 |
| 1922457712 | Madhura G Joag | Internal Medicine | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2016-06-13 |
| 1871949461 | Anaid Hernandez-sanchez | Internal Medicine | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 | 2016-05-12 |
| 1053746156 | Denis Douglas Asiimwe | Internal Medicine | 1000 W 10th St, Internal Medicine Department, Rolla, MO 65401 | 2013-09-08 |
| 1689939993 | Thomas Guerrero-garcia | Internal Medicine | 1060 W 10th St, Rolla, MO 65401-2905 | 2012-07-12 |
| 1992089619 | Abdalla Oun | Internal Medicine | 1000 W 10th St, Rolla, MO 65401 | 2011-09-29 |
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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.