KELLY MULHERN (NPI# 1710486907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710486907 |
| Entity Type | Individual |
| Full Name | KELLY MULHERN |
| Practice Address |
1501 Maple Ave Ste 200 Richmond VA 23226-2553 |
| Mailing Address |
2233 Monument Ave Apt 4 Richmond VA 23220-2728 |
| Practice Telephone | 5082123141 |
| Mailing Telephone | 5082123141 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-006069 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421021 | Kelly Mulhern | Pharmacist | 438 Madison St, Oak Park, IL 60302-4012 | 2016-08-15 |
| Street Address |
1501 MAPLE AVE STE 200 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396913 | Victoria Matt | Specialist | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2006-06-18 |
| 1740798685 | Bon Secours Ambulatory Services LLC | Clinic/Center | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2018-01-12 |
| 1639695323 | Morgan Toland | Physical Therapist | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2017-08-15 |
| 1861802589 | William Tenpenny | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2014-05-02 |
| 1417375569 | John Taliaferro | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2014-04-04 |
| 1801212428 | Mark Thomas Rose | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226 | 2014-03-06 |
| 1851716914 | Christopher Kester | Specialist | 1501 Maple Ave Ste 200, Richmond, VA 23226 | 2014-02-26 |
| 1871932533 | Jared Smith | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226 | 2013-06-17 |
| 1164785754 | Stephen Edward Watkins | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2012-06-19 |
| 1538474861 | Dustin Chase Dyer | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2010-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| 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 |
|---|---|---|---|---|
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1306460316 | Humaira Farukh | Physician Assistant | 13903 Carncross Ct, Richmond, TX 77407-1007 | 2020-06-04 |
| 1609413640 | Abigail Marie Stone | Physician Assistant | 16 N Vine St Apt 213, Richmond, VA 23220-4565 | 2019-12-10 |
| 1881241305 | Lauren Elizabeth Desroches | Physician Assistant | 7101 Jahnke Rd # 205, Richmond, VA 23225-4017 | 2019-08-20 |
| 1720633530 | Sabrina Chica | Physician Assistant | 7405 Montrose Ave, Richmond, VA 23227-1808 | 2019-08-08 |
| 1235790569 | Emma Katherine Cahoon | Physician Assistant | 20 Chelsea Farm Dr, Richmond, RI 02898-1221 | 2019-06-26 |
| 1699249615 | Kendra Ray Long | Physician Assistant | 9119 Stony Point Pkwy Apt 4203, Richmond, VA 23235-2076 | 2019-01-12 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1164954590 | Allyson Hudson Saunders | Physician Assistant | 7101 Jahnke Rd., Suite # 260, Richmond, VA 23225 | 2017-04-03 |
| Find all providers in RICHMOND | ||||
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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.