Organization Active NPI

John Mullen MD PS

  • Urology Physician
  • Seattle, WA
National Provider Identifier
1124201900
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JOHN MULLEN MD PS
Practice address
1221 Madison St #1210
Seattle, WA 98104-1356
Phone
(206) 292-6488
Fax
(206) 623-2436
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. John Steele Mullen, MD
Title
Medical Provider
Phone
(206) 292-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X WA Primary

Addresses

Primary practice location

1221 Madison St #1210
Seattle, WA 98104-1356

Mailing address

1221 Madison St #1210
Seattle, WA 98104-1356
Phone (206) 292-6488

Other identifiers 2

IdentifierTypeStateIssuer
1117910MedicaidWA
DF1382OtherWAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1124201900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST #1210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041356",
            "telephone_number": "206-292-6488",
            "fax_number": "206-623-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST #1210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041356",
            "telephone_number": "206-292-6488",
            "fax_number": "206-623-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MULLEN MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEELE",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "206-292-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117910",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF1382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.