Carol J Mullen, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35241 Issued in WI

Practice address

11101 W Lincoln Ave
Rogers Memorial Hospital
West Allis, WI 53227-1133

Phone

(262) 646-1338

NPI assigned

Aug 12, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285646851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 N HICKORY LN",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664532",
            "telephone_number": "262-646-1338",
            "fax_number": "262-646-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 W LINCOLN AVE",
            "address_2": "ROGERS MEMORIAL HOSPITAL",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271133",
            "telephone_number": "262-646-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "35241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30066600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rae Jean Muchenberger, PTA
• Amy Mudlaff, MS/CCC-SLP
• Brad M Mueller, D.C.
• Mary Paula Mueller, PT
• Michelle Ann Mueller, DPT
• Lizette L Mullen, L.AC, MSOM
• Ayalew Tegegn Muluneh, M.D.
• Indervir Singh Mundh, M.D.
• Masroor Munim, MD
• Shahida Rahman Munim, MD

• General Practice Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.