John M Mulawka III, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

224453 Issued in NY

Practice address

6763 Erie Road RT 5
Derby, NY 14047

Phone

(716) 947-2222

Fax

(716) 947-2223

NPI assigned

Oct 17, 2006

Last updated

Jan 7, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmulawka@dsdpediatrics.medentdirect.com

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.

• John Mulawka DO PC

  dba Silver Creek Pediatrics

  • Specialist
  • Silver Creek, NY
  • NPI 1063690543
  NPD (past) Authorized official
• John Mulawka DO, PC

  • Pediatrics Physician
  • Derby, NY
  • NPI 1831440932
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1417037755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6763 ERIE ROAD RT 5",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "14047",
            "telephone_number": "716-947-2222",
            "fax_number": "716-947-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6763 ERIE ROAD RT 5",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "14047",
            "telephone_number": "716-947-2222",
            "fax_number": "716-947-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULAWKA",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02282048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher J McCann, LMT
• Mary Beth McCormick, LMHC
• Madison Elizabeth McDonagh
• Peter Samuel McQuiller, MD
• Alexandra Mott
• Mary Katherine Nolan-Eaton
• Valerie A Nowak, MHC
• Linda Lee Occhino, NP
• Debbie Opoku
• Janet E Pajak, LPN

• Pediatrics Physician in Derby, NY
• Providers in Derby, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.