MARK MCMULLEN (NPI# 1740203389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740203389 |
| Entity Type | Individual |
| Full Name | MARK MCMULLEN |
| Credential | M.D. |
| Practice Address |
6201 N Suncoast Blvd Crystal River FL 34428-6712 |
| Mailing Address |
Po Box 2030 Homosassa Springs FL 34447-2030 |
| Practice Telephone | 3526213100 |
| Practice Fax Number | 3526213121 |
| Mailing Telephone | 3526213100 |
| Mailing Fax Number | 3526213121 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME49726 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 27507 | 01 |
| FL | 378304900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225272560 | Mark F Mcmullen | Pharmacist | 2151 Kimberly Rd, Bettendorf, IA 52722-3628 | 2009-04-30 |
| 1689897126 | Mark D Mcmullen | Nurse Anesthetist, Certified Registered | 101 Dudley Street, Providence, RI 02905 | 2007-04-11 |
| Street Address |
6201 N SUNCOAST BLVD |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34428-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738506 | Beverly Vienot | Nurse Practitioner | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2005-08-24 |
| 1346863503 | Citrus Hma LLC | Medicare Defined Swing Bed Unit | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-22 |
| 1699397182 | Nancy Ruth Reader | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-07 |
| 1003464033 | Continuum Medical Solutions, LLC | Internal Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2019-09-03 |
| 1215456207 | W4p LLC | Emergency Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-09-12 |
| 1043736465 | Mary Puckett Carroll | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-08-17 |
| 1467995654 | Seven Rivers Reg. Medical Center | General Acute Care Hospital | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2016-11-21 |
| 1679931315 | Joni Seno Capahi | Occupational Therapist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2016-02-09 |
| 1366817512 | Alistair Co, Pllc | Family Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2015-12-13 |
| 1598163826 | Nathan D Huffaker | Nurse Anesthetist, Certified Registered | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129639 | Kady Rae Gonzalez | Pharmacist | 6201 North Suncoast Boulevard, Crystal River, FL 34428 | 2014-02-18 |
| 1104262302 | Cedar Creek At Kings Bay, Inc | Assisted Living Facility | 231 Nw Hwy 19, Crystal River, FL 34428 | 2013-05-14 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1235479403 | Jericka Sanders | Physical Therapy Assistant | 10105 W Ohio Dr, Crystal River, FL 34428 | 2013-02-25 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1871816256 | Alexis R Bergan-guzman | Chiropractor | 116 Nw 5th Street, Crystal River, FL 34428 | 2010-03-12 |
| 1679707889 | Elizabeth Davis Mazzeo | Social Worker | 708 Ne 6th St, Crystal River, FL 34428 | 2009-05-04 |
| 1134136583 | Robert Matthew Berger | Anesthesiology | 6201 Suncoast Blvd, C/o Seven Rivers Regional, Crystal River, FL 34428 | 2006-08-01 |
| 1740211879 | K Mart Corp | Pharmacy | 1801 Northwest Hwy 19, Crystal River, FL 34428 | 2006-07-06 |
| 1174566434 | James T Stiles | Nurse Anesthetist, Certified Registered | 257 Ne Crystal St, Crystal River, FL 34428 | 2006-06-14 |
| Find all providers in zip 34428 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093988933 | Tonialatoya Wallace-eley | Pathology | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2008-04-11 |
| 1235190901 | Fernando A Esclopis | Pathology | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2006-03-31 |
| 1427019108 | Tamarac Pathology Group Pa | Pathology | 6201 N Suncoast Blvd, Department of Pathology, Crystal River, FL 34428-6712 | 2006-03-31 |
| 1629039334 | Marcelino L Alvarez | Pathology | 6201 N Suncoast Blvd, Department of Pathology, Crystal River, FL 34428-6712 | 2006-03-31 |
| 1770562936 | Joana A Faber | Pathology | 6201 N Suncoast Blvd, Seven Rivers Med Center - Pathology Dept, Crystal River, FL 34428-6712 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34428 |
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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.