MR. SHAWN MICHAEL MULLEN (NPI# 1699730531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699730531 |
| Entity Type | Individual |
| Full Name | MR. SHAWN MICHAEL MULLEN |
| Credential | PA-C |
| Practice Address |
1012 E 2nd St Duluth MN 55805-2200 |
| Practice Telephone | 2182496360 |
| Practice Fax Number | 2182496370 |
| Mailing Telephone | 2182496360 |
| Mailing Fax Number | 2182496370 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
10979 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 10979 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1012 E 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669253 | Douglas W Kaplan | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2005-06-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1942777529 | Cody Thomas Lemay | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-10-31 |
| 1619453032 | Katrina Jean Hough | Specialist/Technologist | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-07-18 |
| 1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
| 1437509874 | Leslie Adrian | Emergency Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-06-16 |
| 1811343973 | Carley Jean Udland | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2016-05-09 |
| 1841651437 | Ashley Marie Chesney | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-03-10 |
| 1982062550 | St. Luke's Hospital of Duluth | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-02-10 |
| 1073907291 | Jordan Blessing | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396622 | Sarah Cheeney | Physician Assistant | 2803 E 8th St, Duluth, MN 55812-1518 | 2020-04-30 |
| 1144841552 | Jake L Mcgraw | Physician Assistant | 2006 N 51st Ave E, Duluth, MN 55804-1251 | 2020-04-27 |
| 1053931451 | Maggie Ferguson | Physician Assistant | 4219 Mcculloch St, Duluth, MN 55804-1934 | 2020-04-26 |
| 1174143093 | Melissa Dybvig | Physician Assistant | 825 N 43rd Ave E, Duluth, MN 55804-1939 | 2020-04-21 |
| 1033667266 | Wossen Adinew Asfaw | Physician Assistant | 3575 Koger Blvd Ste 116, Duluth, GA 30096-7559 | 2016-09-16 |
| 1629457981 | David John Willard | Physician Assistant | 4245 Pleasant Hill Rd, Duluth, GA 30096-6332 | 2015-05-20 |
| 1992065973 | Esther Maria Laucirica | Physician Assistant | 2159 Wynnton Point, Duluth, GA 30097 | 2012-05-23 |
| 1033419155 | Danielle Jackson | Physician Assistant | 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 | 2010-10-22 |
| 1811202534 | Sharon Alston | Physician Assistant | 1580 Boggs Rd, 700, Duluth, GA 30096-1229 | 2010-08-18 |
| 1942496112 | Caroline A Woods | Physician Assistant | 32 E 1st St, Womens Health Ctr, Duluth, MN 55802 | 2007-09-20 |
| Find all providers in DULUTH | ||||
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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.