Karen Eseta Mulitalo, MPAS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106217 Issued in FL

Practice address

1329 SW 16TH St
Suite 1160
Gainesville, FL 32608-1128

Phone

(352) 265-7955

Fax

(352) 265-7210

NPI assigned

May 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Brigham Young University

  • Family Medicine Physician
  • Provo, UT
  • NPI 1790175628
  NPD (past)
• Brigham Young University

  • Point of Service
  • Provo, UT
  • NPI 1942276092
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1083975726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 NW 34TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052615",
            "telephone_number": "352-672-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST",
            "address_2": "SUITE 1160",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081128",
            "telephone_number": "352-265-7955",
            "fax_number": "352-265-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULITALO",
        "first_name": "KAREN",
        "middle_name": "ESETA",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "327164-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PS04308",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandro Alpha Muknicka, LMT,CPT
• Shaunak Ramesh Mulani, M.D.
• Michell Mulberry, DNP, ARNP-BC
• Jorge Mulet Perez
• Olivia Michelle Mulet, LCSW
• Kara Frances Mulkey
• Jodi Mullen, RN
• Janelle Sheridan Muller
• John E Muller, CRNA
• Ann Marie Mulligan

• Medical Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.