JACKIE A. MULLINS (NPI# 1972535805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972535805 |
| Entity Type | Individual |
| Full Name | JACKIE A. MULLINS |
| Credential | M.D. |
| Practice Address |
3337 Plainview St Suite 8 Pasadena TX 77504-1988 |
| Practice Telephone | 7139416083 |
| Practice Fax Number | 7139416086 |
| Mailing Telephone | 7139416083 |
| Mailing Fax Number | 7139416086 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G5415 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 117605901 | 05 |
| Street Address |
3337 PLAINVIEW ST SUITE 8 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922036631 | Ming Jeang | Internal Medicine | 3337 Plainview St, Suite 8, Pasadena, TX 77504-1988 | 2006-06-29 |
| 1295061042 | Shr Pharmacy, Inc. | Pharmacy | 3337 Plainview St, Suite B-9, Pasadena, TX 77504 | 2009-10-29 |
| 1851436992 | Cardiovascular Center, P.a. | Specialist | 3337 Plainview St, Suite 8, Pasadena, TX 77504-1988 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1912366097 | Nirp Pasadena, Pllc | Internal Medicine | 3412 Burke Rd # 100, Pasadena, TX 77504-1805 | 2016-02-17 |
| 1710395942 | W Allan Edmiston Md A Medical Corporation | Internal Medicine | 55 E California Blvd Fl 3, Pasadena, CA 91105-3944 | 2014-07-31 |
| 1932308137 | William Leonard Discepolo II | Internal Medicine | 3235 E Colorado Blvd Ste 201, Pasadena, CA 91107-3849 | 2007-07-17 |
| 1538203724 | Ramesh G. Patel | Internal Medicine | 4102 Woodlawn Ave, Ste 250, Pasadena, TX 77504-1947 | 2007-02-19 |
| 1417094665 | Mohamed O Jeroudi Md Pa | Internal Medicine | 5060 Crenshaw Road, Suite # 200, Pasadena, TX 77505-3047 | 2007-01-30 |
| 1902820491 | Premier Heart Specialists P A | Internal Medicine | 4102 Woodlawn, #110, Pasadena, TX 77504 | 2006-07-27 |
| 1922036631 | Ming Jeang | Internal Medicine | 3337 Plainview St, Suite 8, Pasadena, TX 77504-1988 | 2006-06-29 |
| 1316988215 | Anna Marie Harkins Jr. | Internal Medicine | 5010 Crenshaw Rd Ste 110, Pasadena, TX 77505-3047 | 2006-06-10 |
| 1255382545 | Foothill Cardiology Medical Group, Inc. | Internal Medicine | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2006-05-12 |
| Find all providers in PASADENA | ||||
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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.