DR. DANIEL JOSEPH MULLEN (NPI# 1891736435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891736435 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JOSEPH MULLEN |
| Credential | M.D. |
| Practice Address |
4852 E Baseline Rd #c-107 Mesa AZ 85206-4627 |
| Mailing Address |
4852 E Baseline Rd Ste 107 Mesa AZ 85206-4628 |
| Practice Telephone | 4808347000 |
| Practice Fax Number | 4808347002 |
| Mailing Telephone | 4808347000 |
| Mailing Fax Number | 4808347002 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
30294 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 3Z3972 | 01 |
| AZ | 699522 | 05 |
| Street Address |
4852 E BASELINE RD #C-107 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639162779 | Kempton & Nelson Diagnostics LLC | Physiological Laboratory | 4852 E Baseline Rd, Suite 109, Mesa, AZ 85206-4627 | 2005-08-24 |
| 1750823571 | Kempton & Nelson Diagnostics LLC | Durable Medical Equipment & Medical Supplies | 4852 E Baseline Rd, Suite 109, Mesa, AZ 85206-4627 | 2016-11-10 |
| 1093050601 | Maternal Fetal Medicine of Arizona LLC | Obstetrics & Gynecology | 4852 E Baseline Rd, Ste 104, Mesa, AZ 85206-4627 | 2012-12-07 |
| 1790044410 | Advanced Orthopedics, L.L.C. | Orthopaedic Surgery | 4852 E Baseline Rd, Suite 107, Mesa, AZ 85206-4627 | 2012-05-15 |
| 1780906693 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 4852 E Baseline Rd, Suite C-107, Mesa, AZ 85206-4627 | 2010-02-18 |
| 1477883973 | 48hrlabs.com, LLC | Clinical Medical Laboratory | 4852 E Baseline Rd, Suite 104, Mesa, AZ 85206-4627 | 2010-01-05 |
| 1548389265 | Pierpont Medical Group, Ltd | Family Medicine | 4852 E Baseline Rd, Suite #103, Mesa, AZ 85206-4627 | 2007-03-28 |
| 1376669739 | Kelly F Connor | Physician Assistant | 4852 E Baseline Rd, Ste C107, Mesa, AZ 85206-4627 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568811644 | Mullen Orthopedic Clinic Plc | Orthopaedic Surgery | 4852 E Baseline Rd Ste 107, Mesa, AZ 85206-4628 | 2016-06-08 |
| 1962467324 | Carl Dain Allred | Orthopaedic Surgery | 10238 E Hampton Ave Ste 301a, Mesa, AZ 85209 | 2006-04-19 |
| 1326030909 | Jeffrey Sheldon Levine | Orthopaedic Surgery | 1056 S Val Vista Dr, Suite #2, Mesa, AZ 85204-5667 | 2005-08-18 |
| 1790044410 | Advanced Orthopedics, L.L.C. | Orthopaedic Surgery | 4852 E Baseline Rd, Suite 107, Mesa, AZ 85206-4627 | 2012-05-15 |
| 1235301466 | The Desert Sports Medicine and Shoulder Clinic LLC | Orthopaedic Surgery | 6130 E Brown Rd, Mesa, AZ 85205-4960 | 2008-03-27 |
| 1184666216 | Stephen E Hatfield | Orthopaedic Surgery | 4850 E Baseline Rd, Mesa, AZ 85206-4625 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420126 | Joint Regenerative LLC | Orthopaedic Surgery | 4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360 | 2019-01-04 |
| 1275821167 | Preston J Smith | Orthopaedic Surgery | 630 N Alvernon Way Ste 351, Tucson, AZ 85711-1838 | 2011-07-13 |
| 1518174515 | Brett Ledon Haywood | Orthopaedic Surgery | 7520 N Oracle Rd, Ste 200, Tucson, AZ 85704-4448 | 2007-05-17 |
| 1427175777 | Canyon Vista Bone & Joint Surgery, P.C. | Orthopaedic Surgery | 3941 E. Baseline Road #102, Gilbert, AZ 85234 | 2007-03-23 |
| 1508980582 | Scott Joseph Ellis | Orthopaedic Surgery | 726 N Greenfield Rd Ste 108, Gilbert, AZ 85234-5062 | 2007-03-16 |
| 1386693976 | Lance Winter | Orthopaedic Surgery | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3003 | 2006-05-09 |
| 1619957008 | Craig Hollis Weinstein | Orthopaedic Surgery | 3487 S Mercy Rd, Gilbert, AZ 85297-0430 | 2006-01-20 |
| 1497751283 | Douglas Freedberg | Orthopaedic Surgery | 8630 E Via De Ventura, Ste 201, Scottsdale, AZ 85258-3326 | 2005-06-26 |
| 1467454702 | Yuri Lewicky | Orthopaedic Surgery | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2005-06-01 |
| 1003423609 | Arizona Centers for Orthobiologics, LLC | Orthopaedic Surgery | 9475 E Ironwood Square Dr Ste 100, Scottsdale, AZ 85258-4576 | 2020-09-28 |
| 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.