MARK D MCMULLEN (NPI# 1689897126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689897126 |
| Entity Type | Individual |
| Full Name | MARK D MCMULLEN |
| Credential | CRNA |
| Practice Address |
101 Dudley Street Providence RI 02905 |
| Mailing Address |
303 Varnum Drive East Greenwich RI 02818 |
| Practice Telephone | 4018852917 |
| Practice Fax Number | 4014563621 |
| Mailing Telephone | 4018852917 |
| Mailing Fax Number | 4014563621 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RNA36569 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225272560 | Mark F Mcmullen | Pharmacist | 2151 Kimberly Rd, Bettendorf, IA 52722-3628 | 2009-04-30 |
| 1740203389 | Mark Mcmullen | Pathology | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2006-07-25 |
| Street Address |
101 DUDLEY STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316997588 | Mariam Fayek | Internal Medicine | 101 Dudley Street, 3rd Floor, Providence, RI 02905 | 2006-05-11 |
| 1467974873 | Jessica L Wood | Nurse Practitioner | 101 Dudley Street, Wih Triage/ldr, Providence, RI 02905-2401 | 2017-07-07 |
| 1245762392 | Lauren Elizabeth Boudreau | Student in an Organized Health Care Education/Training Program | 101 Dudley Street, Providence, RI 02905 | 2017-03-29 |
| 1841653375 | Emily Greenwood Blosser | Obstetrics & Gynecology | 101 Dudley Street, Wih Division of Obstetrics and Gynecology, Providence, RI 02905-2401 | 2016-04-01 |
| 1770961401 | Abhishek Sripad | Obstetrics & Gynecology | 101 Dudley Street, Wih Triage, Providence, RI 02905-0290 | 2015-05-14 |
| 1053716993 | Megan Auld | Nurse Practitioner | 101 Dudley Street, Women and Infants Hospital Dept of Pediatrics, Providence, RI 02905-0290 | 2014-11-04 |
| 1073924106 | Christine E Foley | Obstetrics & Gynecology | 101 Dudley Street, Wih Triage/ldr, Providence, RI 02905-2401 | 2014-05-12 |
| 1881039352 | Gofran K Tarabulsi | Internal Medicine | 101 Dudley Street, Suite 3352, Providence, RI 02905 | 2013-05-09 |
| 1770927899 | Rimsha Ahmed | Obstetrics & Gynecology | 101 Dudley Street, Women and Infants Hospital, Providence, RI 02905-2401 | 2013-04-19 |
| 1609085935 | Adam James Czynski | Pediatrics | 101 Dudley Street, Providence, RI 02905 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116523 | Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | 530 W 465 N Ste 703, Providence, UT 84332-8006 | 2020-08-24 |
| 1033359005 | Michaela J Hubbard | Nurse Anesthetist, Certified Registered | 33 Staniford St Fl 2, Providence, RI 02905-3105 | 2009-03-03 |
| 1720224140 | Alina Benoit | Nurse Anesthetist, Certified Registered | 185 Elmgrove Ave, Providence, RI 02906-4240 | 2009-01-07 |
| 1316563117 | Kate Bishop | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-18 |
| 1821613639 | Laurie Jean Isabella | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-08 |
| 1083246102 | Erin Kathleen Casimiro | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-02-06 |
| 1871125039 | Stephanie A Wilson | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-02-06 |
| 1043842313 | Brittany Williams | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-02-05 |
| 1447716527 | Joanne Custodio | Nurse Anesthetist, Certified Registered | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2019-02-14 |
| 1265931265 | Vanessa Lauren Marzilli | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2018-02-05 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.