Gerald J Mullan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

GM028879 Issued in MI

Practice address

22039 John R Rd
Hazel Park, MI 48030-1712

Phone

(248) 336-3937

Fax

(248) 336-3938

NPI assigned

Aug 9, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

OphthalmologyAlso: General Practice

Education

Wayne State University School of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: gmullan1142400@direct.hfhs.org

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.

• Our Healthy Eyes PC

  • Ophthalmology Physician
  • Hazel Park, MI
  • NPI 1316494123
  Medicare reassignment

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1457361503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480300279",
            "telephone_number": "248-336-3937",
            "fax_number": "248-336-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22039 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301712",
            "telephone_number": "248-336-3937",
            "fax_number": "248-336-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483075462",
            "country_code": "US",
            "telephone_number": "248-299-3937",
            "fax_number": "248-336-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLAN",
        "first_name": "GERALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "GM028879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed S Haq MD P C (Van Dyke Medical Center P C)
• Moore Open Hands Cari Open Hearts
• Jade Moore
• Shirlene Morgan, FNP-C
• Ammar Musleh Muhsin, PA-C
• Emad Nakkash, MD
• Maria Nadia Nelson, MS, PA-C
• Neu Chiropractic
• Lisa Hiu NG, PA-C
• Anah Marie Nicolai

• Ophthalmology Physician in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.