Eric T Mullen (NPI# 1164481321, PAC ID# 2365426038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1164481321 |
| PAC ID by PECOS | 2365426038 |
| Professional Enrollment ID | I20040618000089 |
| Full Name | Eric T Mullen |
| Organization Legal Name | RADIATION ONCOLOGY GROUP CONSULTANTS P C |
| Address |
1111 Crater Lake Ave Medford OR 97504-6241 |
| Phone Number | 5417327000 |
| Gender | M |
| Credential | MD |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 0446248405 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380075 | PROVIDENCE MEDFORD MEDICAL CENTER |
| 380018 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 Crater Lake Ave, Medford, OR 97504-6241 | 5417327000 | RADIATION ONCOLOGY GROUP CONSULTANTS P C |
| 2825 E Barnett Rd, Medford, OR 97504-8332 | 5416084263 | RADIATION ONCOLOGY GROUP CONSULTANTS P C |
| Organization Legal Name | RADIATION ONCOLOGY GROUP CONSULTANTS P C |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Drakeford Mullen | Radiation Oncology | Radiation Oncology Group Consultants P C | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Gordon L Metz | Radiation Oncology | Radiation Oncology Group Consultants P C | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Kenneth D Haugen | Radiation Oncology | Radiation Oncology Group Consultants P C | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Jere L Sandefur | Radiation Oncology | Radiation Oncology Group Consultants P C | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Christina Binder | Radiation Oncology | Radiation Oncology Group Consultants P C | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Craig N Haveman | Radiation Oncology | Radiation Oncology Group Consultants P C | 2825 E Barnett Rd, Medford, OR 97504-8332 |
| Theodore James Robnett | Radiation Oncology | Radiation Oncology Group Consultants P C | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Street Address |
1111 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip | 97504-6241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen E Christensen | Hospitalist | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Brett M Williams | Nurse Practitioner | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Emilia Arden | Cardiovascular Disease (cardiology) | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Ryan Garrett | Emergency Medicine | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| James C Cook Jr. | Cardiovascular Disease (cardiology) | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Timothy Hutchings | Urology | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| David E Harris | Physical Medicine and Rehabilitation | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Carla N Overstreet | Nurse Practitioner | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Hannah I Young | Internal Medicine | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Phuc D Tran | Hospitalist | Providence Health and Services Oregon | 1111 Crater Lake Ave, Medford, OR 97504-6241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Anne Zaslow | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Benjamin Robert Oldson | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Shirley A Malcolm | Osteopathic Manipulative Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Denise M Viss | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Carissa D Scalf | Psychologist, Clinical | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Wesley T Ramoso | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Uzomechine Thabiso Chiedozi | Family Medicine | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Grant A Jolliffe | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Travis Adam Day | Nurse Practitioner | Providence Health and Services Oregon | 70 Bower Dr, Medford, OR 97504 |
| Jasmin Williams | Clinical Social Worker | Options for Southern Oregon | 1700 E Barnett Rd, Medford, OR 97504-0052 |
| Find all physicians in zip 97504 | |||
| City | MEDFORD |
| Zip Code | 97504 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | MEDFORD + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Eric T Mullen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.