Charles J. McMullin

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD117270 Issued in MO

Legal business name

CHARLES J. MCMULLIN

Practice address

54 Hospital Dr
Suite 205
Osage Beach, MO 65065-3050

Phone

(573) 302-2276

NPI assigned

Oct 19, 2007

Last updated

Oct 19, 2007By 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

Miss Beth E. Carlile

Title

Billing Manager

Phone

(573) 364-2227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1114116605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR STE 205",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-302-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "SUITE 205",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-302-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. MCMULLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "CARLILE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "573-364-2227",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "MD117270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Ella Carter
• Angelia Marie Cayou, NP
• Central Missouri Cardiovascular Associates, Inc.
• Kathleen Ann Champion, RDLD
• Jessica D Chaney, DPT
• David M Chisholm, DO
• Joan M Citrin, D.C.
• City of Osage Beach (Osage Beach Ambulance Service)
• Margaret Ann Clabough, PTA
• Clearview Outpatient Services Inc.

• Specialist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.