David A Mullen (NPI# 1891760237, PAC ID# 6507762226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891760237 |
| PAC ID by PECOS | 6507762226 |
| Professional Enrollment ID | I20031211000760 |
| Full Name | David A Mullen |
| Organization Legal Name | POTOSI EMERGENCY GROUP, LLC |
| Address |
300 Health Way Dr Potosi MO 63664-1420 |
| Phone Number | 5734385451 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648588541 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261308 | WASHINGTON COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Health Way Dr, Potosi, MO 63664-1420 | 5734385451 | POTOSI EMERGENCY GROUP, LLC |
| Organization Legal Name | POTOSI EMERGENCY GROUP, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuemeka M Ekeke | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Laurence Dow Hutchinson | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Matthew E Hart | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Kelly L Hartel | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Gregory S Zolkowski | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Michael A Kutmas | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Shayne S Keddy | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| John Quincy Elliott | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Street Address |
300 HEALTH WAY DR |
| City | POTOSI |
| State | MO |
| Zip | 63664-1420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tariq J Alam | Neurology | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Kallie Belfield | Nurse Practitioner | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Chukwuemeka M Ekeke | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Laurence Dow Hutchinson | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Matthew Charan Baker | Orthopedic Surgery | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Matthew E Hart | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Patricia Allen | Nurse Practitioner | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Kati Danielle Hinkle | Nurse Practitioner | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Kelly L Hartel | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Andrew Ninichuck | General Practice | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Zolkowski | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Angela S Declue | Nurse Practitioner | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Michael A Kutmas | Emergency Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| David K Moore | Internal Medicine | Rural Physicians Group Pannu Pllc | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Kamal Akhtar | Nurse Practitioner | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Sandra L Mitkos | Nurse Practitioner | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Jose A Ramirez | Gastroenterology | Washington County Memorial Hospital | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Michael Gilmore | General Practice | Rural Physicians Group Pannu Pllc | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Ruth Marie Kvokotov | Family Medicine | Rural Physicians Group Pannu Pllc | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Shayne S Keddy | Family Medicine | Potosi Emergency Group, LLC | 300 Health Way Dr, Potosi, MO 63664-1420 |
| Find all physicians in zip 63664 | |||
| City | POTOSI |
| Zip Code | 63664 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POTOSI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David A 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.