DR. MICHELLE M MULDER (NPI# 1588660997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588660997 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE M MULDER |
| Credential | M.D. |
| Practice Address |
5171 Cub Lake Rd Suite B210 Show Low AZ 85901-7888 |
| Practice Telephone | 9285370635 |
| Practice Fax Number | 9285328957 |
| Mailing Telephone | 9285370635 |
| Mailing Fax Number | 9285328957 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2013-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 44992 | AZ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 165580501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787675 | Michelle Mulder | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2015-04-08 |
| Street Address |
5171 CUB LAKE RD SUITE B210 |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538510573 | Luke Wahlstrom | Physical Therapist | 5171 Cub Lake Rd, Suite C310, Show Low, AZ 85901-7888 | 2016-06-30 |
| 1467878108 | Summit Healthcare Medical Associates | Internal Medicine | 5171 Cub Lake Rd, Suite B230, Show Low, AZ 85901-7888 | 2014-03-05 |
| 1831472729 | Vance Patrick Hoopes | Physical Therapist | 5171 Cub Lake Rd, Suite C 360, Show Low, AZ 85901-7888 | 2011-09-27 |
| 1124356274 | Kathy A Daley | Physical Therapist | 5171 Cub Lake Rd, Suite C 360, Show Low, AZ 85901-7888 | 2009-12-01 |
| 1568790616 | Steven E Kempton | Physical Therapist | 5171 Cub Lake Rd, Suite C 360, Show Low, AZ 85901-7888 | 2009-12-01 |
| 1821326224 | Robins Nest Pediatrics, Pllc | Specialist | 5171 Cub Lake Rd, Ste B280, Show Low, AZ 85901-7888 | 2009-11-23 |
| 1740432590 | University Ob-gyn, LLC | Obstetrics & Gynecology | 5171 Cub Lake Rd, Bldg B #210, Show Low, AZ 85901 | 2008-10-10 |
| 1881860252 | John Dallas Davis | Physical Therapist | 5171 Cub Lake Rd, Suite C- 360, Show Low, AZ 85901-7888 | 2008-05-05 |
| 1063694271 | Elizabeth J Finan | Physical Therapist | 5171 Cub Lake Rd, Suite C-360, Show Low, AZ 85901-7888 | 2007-11-29 |
| 1215119524 | Peter Niemczyk Md Facs LLC | Urology | 5171 Cub Lake Rd, Suite C340, Show Low, AZ 85901-7888 | 2007-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659419323 | Sheila Lofgreen | Specialist | 1801 W Deuce of Clubs, #200, Show Low, AZ 85901-2705 | 2007-02-02 |
| 1801956990 | Joshua A Benenti | Specialist | 1285 Lone Pine Dam Rd, Show Low, AZ 85901-3906 | 2006-12-11 |
| 1760595342 | Jeffery Carleton Northup | Specialist | 5171 Cub Lake Road, Bldg B Suite 210, Show Low, AZ 85901 | 2006-08-16 |
| 1013903111 | Steven W Helland | Specialist | 2451 S White Mountain Rd, Show Low, AZ 85901-7306 | 2005-09-23 |
| 1073865572 | White Mountain Pain Associates PC | Specialist | 2451 S White Mountain Rd, Show Low, AZ 85901-7306 | 2012-10-08 |
| 1821326224 | Robins Nest Pediatrics, Pllc | Specialist | 5171 Cub Lake Rd, Ste B280, Show Low, AZ 85901-7888 | 2009-11-23 |
| 1790994242 | Jay M Brashear | Specialist | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2007-05-22 |
| 1922132901 | Show Low Neurology Clinic PC | Specialist | 5171 Cub Lake Rd, Bldg C Suite 340, Show Low, AZ 85901-7888 | 2007-03-14 |
| 1861524217 | Kimberly Shreeve | Specialist | 1801 W Deuce of Clubs, Show Low, AZ 85901-2705 | 2007-03-12 |
| 1871632851 | Janie Hiesirman-gorak | Specialist | 1801 W Deuce of Clubs, #200, Show Low, AZ 85901-2705 | 2007-02-06 |
| Find all providers in SHOW LOW | ||||
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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.