Active NPI
Norma J Mullins, MD
- Pulmonary Disease Physician
- Beckley, WV
National Provider Identifier
1104856301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 11394
- Practice address
- 3771 Robert C Byrd Drive
Beckley, WV 25801 - Phone
- (304) 255-5710
- Fax
- (304) 255-5702
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 11394 | WV | Primary |
Addresses
Primary practice location
3771 Robert C Byrd Drive
Beckley, WV 25801
Mailing address
PO Box 1307
Beckley, WV 25802-1307
Phone (304) 255-5710
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084071001 | Medicaid | WV | |
| 4245813 | Other | WV | AETNA |
| P00147218 | Other | WV | RR MEDI |
| 101640 | Other | WV | FED DOL |
| 155372 | Other | WV | UMWA FUNDS |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104856301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1307",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258021307",
"telephone_number": "304-255-5710",
"fax_number": "304-255-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 ROBERT C BYRD DRIVE",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-255-5710",
"fax_number": "304-255-5702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "NORMA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "11394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0084071001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4245813",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDI",
"identifier": "P00147218",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED DOL",
"identifier": "101640",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA FUNDS",
"identifier": "155372",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
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.