Miriam J Mullin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10007124 Issued in DE

Practice address

722 Yorklyn Rd
Suite 400
Hockessin, DE 19707-8718

Phone

(302) 235-2351

Fax

(302) 235-2365

NPI assigned

Jun 28, 2005

Last updated

May 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1235136870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD",
            "address_2": "SUITE 400",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078718",
            "telephone_number": "302-235-2351",
            "fax_number": "302-235-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD",
            "address_2": "SUITE 400",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078718",
            "telephone_number": "302-235-2351",
            "fax_number": "302-235-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "MIRIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10007124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DELAWARE",
            "identifier": "510279425",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7063548",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PIN 00062633",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "198587",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2360820",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "8116364",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024574",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID ATLANTIC HEALTH",
            "identifier": "50071",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve M. Minick, M.D.
• Beatriz Mirabal, DDS
• Jennifer Ann Morrison, PTA
• Christine Louise Morrow, LAT
• Robin R Morse
• Olivia Murphy-Rogers
• MW Wellness XI, LLC
• Meg Myers, LCSW
• Linda Kwon Nadot, MSS, LCSW
• Shabbir Ali Naqvi, MD

• Family Medicine Physician in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.