Active NPI
John Mullen MD PS
- Urology Physician
- Seattle, WA
National Provider Identifier
1124201900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1117910 | Medicaid | WA | |
| DF1382 | Other | WA | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryNPI 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.