Thomas George McMullan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23234 Issued in IA

Practice address

124 West Greene Street
Postville, IA 52162

Phone

(563) 864-7221

Fax

(563) 864-7224

NPI assigned

Jul 3, 2006

Last updated

Apr 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Veterans Memorial Hospital Hospital, Waukon, IA, CCN 161318
• Gundersen Palmer Lutheran Hospital and Clinics Hospital, West Union, IA, CCN 161316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Veterans Memorial Hospital City of Waukon Ia

  • Critical Access Hospital
  • Waukon, IA
  • NPI 1164599643
  Medicare reassignment NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Emergency Medicine Physician
  • Waukon, IA
  • NPI 1235260126
  Medicare reassignment NPD
• Thomas G. McMullan

  dba Postville Clinic AKA Postville Medical Clinic

  • Internal Medicine Physician
  • Postville, IA
  • NPI 1801825518
  Authorized official Same address or phone
• Veterans Memorial Hospital City of Waukon Ia

  dba VMH Medical Clinic Waukon

  • Rural Health Clinic/Center
  • Waukon, IA
  • NPI 1093306425
  NPD
• Veterans Memorial Hospital City of Waukon Ia

  dba VMH Medical Clinic Postville

  • Rural Health Clinic/Center
  • Postville, IA
  • NPI 1417696527
  NPD

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

• Palmer Lutheran Health Center, Inc.

  dba Gundersen Palmer Lutheran Hospital and Clinics

  • Critical Access Hospital
  • West Union, IA
  • NPI 1598765398
  Care Compare affiliation
• Veterans Memorial Hospital City of Waukon Ia

  • Critical Access Hospital
  • Waukon, IA
  • NPI 1164599643
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1386673069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "POSTVILLE",
            "state": "IA",
            "postal_code": "521620799",
            "telephone_number": "563-864-7221",
            "fax_number": "563-864-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WEST GREENE STREET",
            "city": "POSTVILLE",
            "state": "IA",
            "postal_code": "52162",
            "telephone_number": "563-864-7221",
            "fax_number": "563-864-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "THOMAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "23234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207852",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD IA",
            "identifier": "20785",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS/NSC",
            "identifier": "0265030001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Helen Klinge, LBSW
• Roger Whitman Kolarich, DDS
• Kristen Leigh Larter, APNP
• Heather Michelle Lechtenberg, LMFT-T
• Mordechai D Lederman, DO
• C. Sue Mueller, LMHC,LMFT
• Palmer Lutheran Health Center, Inc. (Gundersen Palmer Lutheran Hospital and Clinics - Postville)
• Postville Community Schools
• Prescription Shoppe Telepharmacy, LLC (Nightingale Drug)
• Prescription Shoppe Telepharmacy, LLC (Nightingale Drug)

• General Practice Physician in Postville, IA
• Providers in Postville, IA by specialty
• General Practice Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.