ROBERT MULLIN (NPI# 1801895941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801895941 |
Entity Type | Individual |
Full Name | ROBERT MULLIN |
Credential | DPM |
Practice Address |
2805 Campus Dr Suite 325 Plymouth MN 55441-2676 |
Practice Telephone | 7635501013 |
Practice Fax Number | 7635500615 |
Mailing Telephone | 7635501013 |
Mailing Fax Number | 7635500615 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 507 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 884525500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356978183 | Robert Daniel Mullin Jr. | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2020-03-23 |
Street Address |
2805 CAMPUS DR SUITE 325 |
City | PLYMOUTH |
State | MN |
Zip Code | 55441-2676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164428223 | Wayzata Orthopedic's P.a. | Orthopaedic Surgery | 2805 Campus Dr, Ste 425, Plymouth, MN 55441-2680 | 2005-06-23 |
1215308622 | Lauren Joy Hager | Nurse Practitioner | 2805 Campus Dr, 125, Plymouth, MN 55441-2676 | 2015-10-12 |
1316340128 | Lana Abboud | Psychologist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2014-10-07 |
1598165664 | Westhealth Surgery Center LLC | Clinic/Center | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-26 |
1144629262 | Timothy James Menden | Physical Therapist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-14 |
1114332301 | Sp Plastic Surgery, LLC | Plastic Surgery | 2805 Campus Dr, Suite 485, Plymouth, MN 55441-2676 | 2014-06-25 |
1376893818 | Colin Joseph Maguire | Dentist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-09-12 |
1235498619 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2676 | 2012-05-07 |
1578821997 | Andrew Steven Houghton | Family Medicine | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-04-24 |
1811263551 | Jacob Joseph Haws | Physical Therapist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2012-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
Find all providers in zip 55441 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003309444 | Plymouth Podiatry PC | Podiatrist | 135 Sandwich St Ste 1, Plymouth, MA 02360-2400 | 2018-06-11 |
1952625758 | James Duncan Dpm Pllc | Podiatrist | 13953 Orchard Ct, Plymouth, MI 48170-5291 | 2010-03-23 |
1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
1245376987 | Ronald Phillip Adelman | Podiatrist | 990 W Ann Arbor Trl Ste 200, Plymouth, MI 48170-1686 | 2007-01-29 |
1144333667 | John William Cheesebro | Podiatrist | 2805 Campus Dr Ste 225, Plymouth, MN 55441-2678 | 2006-08-17 |
1679521835 | Matthew L Burrell | Podiatrist | 144 Highland St, Plymouth, NH 03264-1240 | 2006-05-04 |
1174518393 | Mary Ellen Schwartz | Podiatrist | 116 E Washington St, Plymouth, IN 46563-1744 | 2005-09-14 |
1700882305 | Thomas Joseph Hardiman | Podiatrist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2005-06-28 |
1184626426 | Peter Michael Kaminski | Podiatrist | 75 Washington Ave, Plymouth, PA 18651-1744 | 2005-06-01 |
1992095467 | Stephanie Jill Donovan | Podiatrist | 990 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-6204 | 2011-04-18 |
Find all providers in PLYMOUTH |
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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.