Charles N. Mullican, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

2010020683 Issued in MO

Practice address

711 N 36TH St
Saint Joseph, MO 64506-2977

Phone

(816) 271-7190

Fax

(816) 271-7672

NPI assigned

Jul 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.mullican.1@25988.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3412/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwestern Health Management, Inc.

  • Family Medicine Physician
  • Saint Joseph, MO
  • NPI 1104962901
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275847642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062977",
            "telephone_number": "816-271-7190",
            "fax_number": "816-271-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062977",
            "telephone_number": "816-271-7190",
            "fax_number": "816-271-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "CHARLES",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010020683",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2010020683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275847642",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080111091",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyler Mahlon Moxley, OTR
• George Dale Mulder, M.D.
• Charles Allen-Wayne Mulkey, STUDENT
• Trevor Lawrence Mull, STUDENT
• Carol Mullican
• Murphy Watson Burr Eye Center Inc
• Murphy Watson Burr Eye Center Inc
• Murphy Watson Burr Surgery Center Inc
• Erin Murphy, PLPC
• James A Murphy, M.D.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.