Theodore McMullen III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN186965 Issued in GA

Practice address

616 19TH St
Columbus, GA 31901-1528

Phone

(706) 494-4262

NPI assigned

Nov 20, 2006

Sex

Male

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

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullman Regional Pain Services LLCGroup PAC ID 1456694082, 16 clinicians

Cullman Regional Anesthesia Services LLCGroup PAC ID 2466785712, 34 clinicians

Amsol Anesthetists of Georgia, LLCGroup PAC ID 5193780955, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035
• Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Cullman Regional Anesthesia Services LLC

  • Anesthesiology Physician
  • Cullman, AL
  • NPI 1982163671
  Medicare reassignment Care Compare group NPD
• Cullman Regional Pain Services LLC

  • Anesthesiology Physician
  • Cullman, AL
  • NPI 1326507013
  Medicare reassignment Care Compare group NPD
• Amsol Anesthetists of Georgia, LLC

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1649224775

  AL

  Medicare reassignment Care Compare group
• Epix Anesthesia of Alabama LLC

  • Anesthesiology Physician
  • Roswell, GA
  • NPI 1629427059

  AL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Birmingham Gastroenterology Associates PC

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1366406514
  Medicare reassignment NPD
• Gastroenterology Associates of North-Central Alabama Inc

  • Specialist
  • Birmingham, AL
  • NPI 1528080595
  Medicare reassignment NPD
• Patriot Perioperative Partners, Inc.

  • Certified Registered Nurse Anesthetist
  • Vestavia, AL
  • NPI 1386194454

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Birmingham Gastroenterology Associates PC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1861926131

  Nurse Anesthetist, Certified Registered

  NPD
• Gastroenterology Associates of North-Central Alabama Inc

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1912446105

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation
• Russell County Community Hospital LLC

  • General Acute Care Hospital
  • Phenix City, AL
  • NPI 1023050101
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191628800000",
    "number": "1346314689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 PINE TREE PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352802",
            "telephone_number": "706-494-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011528",
            "telephone_number": "706-494-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "THEODORE",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN186965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA CERT",
            "identifier": "073260",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Cheyenne McMahon, RN
• Kimberly McMann
• George M McMillan III, PT
• Markaysia Leann McMillan
• Keerra McMillion
• Alexandra McNamara
• Karen Cornelia McNealy-Boswell, LCSW
• Kendairus McNeese
• Adrienne Patrice McNeill, RN
• Christopher McNeill

• Certified Registered Nurse Anesthetist in Columbus, GA
• Providers in Columbus, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.