Active NPI
Nick J Mulchin, DO
- Anesthesiology Physician
- Norwalk, OH
National Provider Identifier
1033221734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34001969M
- Practice address
- 272 Benedict Avenue
Norwalk, OH 44857-2374 - Phone
- (419) 668-8101
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34001969M | OH | Primary |
Addresses
Primary practice location
272 Benedict Avenue
Norwalk, OH 44857-2374
Mailing address
3180 Kettering Boulevard
Dayton, OH 45439-1924
Phone (937) 293-0247
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4079411 | Other | OH | AETNA |
| 0170774 | Medicaid | OH | |
| P00068806 | Other | OH | RAILROAD MEDICARE |
| 000000325128 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ZZZ Anesthesia, Inc | Anesthesiology | Past | Accepting new patients |
| Bellevue Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bellevue, OH
- NPI 1306981642
-
- Anesthesiology Physician
- Norwalk, OH
- NPI 1396780771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033221734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 KETTERING BOULEVARD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-293-0247",
"fax_number": "937-293-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 BENEDICT AVENUE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572374",
"telephone_number": "419-668-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCHIN",
"first_name": "NICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34001969M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4079411",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170774",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00068806",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000325128",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.