Michael R Mullins II Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MICHAEL R MULLINS II INC

Doing business as

Southern Medical

Practice address

301 George Kostas Dr
Logan, WV 25601-3493

Phone

(304) 752-1450

Fax

(304) 752-4390

NPI assigned

Mar 13, 2007

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Ray Mullins II

Title

Owner

Phone

(304) 752-1450

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Southern Medical Doing business as

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1053444968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GEORGE KOSTAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013493",
            "telephone_number": "304-752-1450",
            "fax_number": "304-752-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GEORGE KOSTAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013493",
            "telephone_number": "304-752-1450",
            "fax_number": "304-752-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R MULLINS II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-752-1450",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147367000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Ann McNeely, CFNP
• Lisa Meade
• Medical Services of America Inc (Medi Home Care)
• Steve Scott Melek
• Hannah Marie Messer
• Miranda Jean Michaloff
• Jon M Miller, DO
• Whitney Miller, NP
• Aimee Mitchell
• Mariah Mollett

• Oxygen Equipment & Supplies (DME) in Logan, WV
• Providers in Logan, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.