DR. SEAN WILLIAM MULVANEY (NPI# 1700911153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700911153 |
| Entity Type | Individual |
| Full Name | DR. SEAN WILLIAM MULVANEY |
| Credential | M.D. |
| Practice Address |
11300 Rockville Pike Ste 615 Rockville MD 20852-3033 |
| Mailing Address |
Rosm Annapolis 116 Defense Highway Suite 203 Annapolis MD 21401 |
| Practice Telephone | 2026817671 |
| Practice Fax Number | 8446817671 |
| Mailing Telephone | 4105050530 |
| Mailing Fax Number | 4105050531 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01055367A | IN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
D0070210 | MD | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01055367A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1033 Ashe St, Davidsonville, MD 210351215 | 4107120785 | 4107120782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336543677 | Sean Mulvaney | Anesthesiologist Assistant | 820 Prudential Dr, Suite 606, Jacksonville, FL 32207-8210 | 2014-10-15 |
| Street Address |
11300 ROCKVILLE PIKE STE 615 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649256496 | John L Ferrell IIi | Family Medicine | 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 | 2005-12-22 |
| 1477896934 | David Itskevich | Physical Medicine & Rehabilitation | 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649256496 | John L Ferrell IIi | Family Medicine | 11300 Rockville Pike Ste 615, Rockville, MD 20852-3033 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677518 | Jonathan Damon Lawless | Family Medicine | 11120 New Hampshire Ave Ste 411, Silver Spring, MD 20904-2620 | 2012-04-09 |
| 1467644807 | Anne K. Rettig | Family Medicine | 12111 Darnestown Rd, Gaithersburg, MD 20878-2205 | 2007-08-09 |
| 1881765170 | Christian Nnamdi Nwankwo Jr. | Family Medicine | 17 Firstfield Rd, 2nd Floor, Gaithersburg, MD 20878-1774 | 2006-11-10 |
| 1265529762 | Christopher Edward Jonas | Family Medicine | 4301 Jones Bridge Rd Dept Of, Bethesda, MD 20814-4712 | 2006-10-06 |
| 1962448902 | Shahab Z Siddiqui | Family Medicine | 324 E Antietam St Ste 305, Hagerstown, MD 21740-5768 | 2006-06-20 |
| 1821502709 | Phillip Michael Morgan | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-11-29 |
| 1124552302 | Phil Mor Fit | Family Medicine | 1718 Belmont Ave Ste C, Windsor Mill, MD 21244-2552 | 2017-04-14 |
| 1083069348 | Miranda Gordon-zigel | Family Medicine | 1420 Key Hwy, Baltimore, MD 21230-5546 | 2016-04-25 |
| 1245609494 | University of Maryland Athletics-college Park | Family Medicine | 379 Field House Dr, College Park, MD 20742-0001 | 2015-09-17 |
| 1356729040 | Edilberto Atienza Jr. | Family Medicine | 3407 Wilkens Ave, Baltimore, MD 21229 | 2015-05-13 |
| Find all providers with the same taxonomy | ||||
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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.