JOHN MULLINS (NPI# 1558307280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558307280 |
| Entity Type | Individual |
| Full Name | JOHN MULLINS |
| Credential | MD |
| Practice Address |
1115 12th Ave Rd Nampa ID 83686-5738 |
| Mailing Address |
Po Box 191050 Boise ID 83719-1050 |
| Practice Telephone | 2084981080 |
| Mailing Telephone | 2089556522 |
| Mailing Fax Number | 2089556503 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | M5653 | ID | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | M-5653 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003816800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417248923 | John Everett Mullins | Pediatrics | 19223 Stonehue Ste 117, San Antonio, TX 78258-3457 | 2011-05-02 |
| 1659441343 | John E Mullins | Optometrist | 5958 Snow Hill Rd, Suite 136, Ooltewah, TN 37363 | 2006-11-09 |
| 1063434538 | John Mullins | General Practice | 2251 War Admiral Way, Suite 125, Lexington, KY 40509 | 2006-07-24 |
| 1043276223 | John C Mullins | Optometrist | 32730 Walker Rd Ste J1, Avon Lake, OH 44012-2235 | 2006-04-25 |
| 1558844589 | John A Mullins | Specialist | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2018-09-14 |
| 1891158093 | John Nicholas Mullins | Student in an Organized Health Care Education/Training Program | 8268 164th St, Jamaica, NY 11432-1121 | 2016-04-04 |
| 1457790164 | John P Mullins | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-06-17 |
| 1104168905 | John Harrison Mullins IIi | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2013-03-20 |
| 1568595478 | John David Mullins | Specialist | 35 Collier Rd Nw, Suite 675, Atlanta, GA 30309-1613 | 2007-03-13 |
| 1265506968 | John Elverage Mullins Jr. | Dentist | 567 Park Ave, Suite 104, Scotch Plains, NJ 07076-1754 | 2006-11-17 |
| Street Address |
1115 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407493638 | Alison R Dekerchove | Physician Assistant | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2019-12-06 |
| 1992341150 | Andrea Nicole Stevens | Nurse Practitioner | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2019-11-22 |
| 1184055030 | Elisha Ann Jimenez | Physician Assistant | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2013-12-03 |
| 1427480201 | Eli G Thornton | Nurse Practitioner | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2013-08-05 |
| 1851730949 | Alliance Medical Group, LLC | Family Medicine | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2013-06-21 |
| 1972864833 | Jennifer Babcock | Nurse Practitioner | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2012-06-06 |
| 1376851725 | Raul Rios | Physician Assistant | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1396278958 | Sean Michael Rutschke | Family Medicine | 9850 W St Lukes Dr Ste 290, Nampa, ID 83687-7912 | 2017-04-10 |
| 1407204225 | Sarah M Waterman | Family Medicine | 9850 W St Lukes Dr Ste 329, Nampa, ID 83687-7912 | 2016-06-02 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1588036396 | Andrew Leon Bennett | Family Medicine | 5102 Howard Ln, Nampa, ID 83687-8659 | 2015-10-21 |
| 1881033256 | Mitchell A Mendenhall | Family Medicine | 11035 Karcher Rd, Nampa, ID 83651-8200 | 2013-06-19 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1174834246 | Josh Leavitt | Family Medicine | 974 W Corporate Ln Ste 102, Nampa, ID 83651-1930 | 2010-06-23 |
| 1427099852 | Linda Lam | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2006-06-09 |
| 1548228844 | Austin J. Graham | Family Medicine | 824 S Diamond St, Nampa, ID 83686-5960 | 2006-05-03 |
| Find all providers in NAMPA | ||||
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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.