Nathan H Mull IV LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

NATHAN H MULL IV LLC

Practice address

200 Sylvan Dr
Lookout Mountain, TN 37350-1630

Phone

(423) 821-3866

NPI assigned

Nov 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nathan H Mull IVNPI 1588653208

Title

Owner

Phone

(423) 821-3866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan H Mull IV, MD

  • Pulmonary Disease Physician
  • Chattanooga, TN
  • NPI 1588653208
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1043722754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80033",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374147033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SYLVAN DR",
            "city": "LOOKOUT MOUNTAIN",
            "state": "TN",
            "postal_code": "373501630",
            "telephone_number": "423-821-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN H MULL IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-821-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Frazier Dunn, NP-C
• Independent Physical Therapy
• Leigh Carter Kuyrkendall, DMD
• Lookout Mountain Physical Therapy, LLC
• Elizabeth Moore, MOT, OTR/L
• Amanda Jo Temple, MPT
• Kate Townsend, LCSW

• Pulmonary Disease Physician in Lookout Mountain, TN
• Providers in Lookout Mountain, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.