Michael P. McMullen M.D. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

163485 Issued in NY

Legal business name

MICHAEL P. MCMULLEN M.D. P.C.

Practice address

505 Beahan Rd
Rochester, NY 14624-3403

Phone

(585) 426-1470

Fax

(585) 426-6510

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Mary McMullen, R.N.

Title

Office Manager

Phone

(585) 426-1470

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Matthew Soh, M.D.

  • MOHS-Micrographic Surgery Physician
  • Rochester, NY
  • NPI 1104271840
  NPD

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1366827826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BEAHAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243403",
            "telephone_number": "585-426-1470",
            "fax_number": "585-426-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BEAHAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243403",
            "telephone_number": "585-426-1470",
            "fax_number": "585-426-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. MCMULLEN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-426-1470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "163485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Miceli
• Sandra J Micelli, FNP
• Michael a. Yassick, Nurse Practitioner in Psychiatry, PLLC
• Michael D. Miran, PH.D. Psychologist P.C.
• Michael Lembaris, Psy.D., Psychological Services, P.C.
• Jennifer Michael, LCSW
• Paula A Michael, LPN
• Constantine Franz Michaelides, MD
• Joy Katherine Knopf Michaelides, M.D.
• M. Elizabeth Michaels, MD

• Family Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.