Individual provider Active NPI

Marian B Mulligan, CRNA

  • Certified Registered Nurse Anesthetist
  • Langhorne, PA
National Provider Identifier
1578565925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN177294L Issued in PA
Practice address
246 Wheatsheaf LN
Langhorne, PA 19047-1551
Phone
(215) 757-5594
Fax
(215) 757-4127
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR10970100 NJ
Certified Registered Nurse Anesthetist 367500000X RN177294L PA Primary

Addresses

Primary practice location

246 Wheatsheaf LN
Langhorne, PA 19047-1551

Mailing address

2136 Rush Rd
Abington, PA 19001-3614
Phone (215) 576-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR10970100NJMDCertified Registered Nurse Anesthetist
RN177294LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancocas Anesthesiology, P.a. Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Preferred Anesthesia Associates, PC Past Accepting new patients
Rittenhouse Anesthesia Associates, LTD. Past Accepting new patients
Middletown Anesthesia Group PC Past Accepting new patients
James F Noone MD PC Past Accepting new patients
Fox Chase Anesthesiology Assoc PC Past Accepting new patients
Advanced Anesthesia Associates, PC Past Accepting new patients
Huntingdon Valley Anesthesia Associates Past Accepting new patients
Medikine Group LLC Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578565925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 RUSH RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013614",
            "telephone_number": "215-576-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 WHEATSHEAF LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471551",
            "telephone_number": "215-757-5594",
            "fax_number": "215-757-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "MARIAN",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR10970100",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN177294L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.