Stanley P Mullen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14285 Issued in TN

Practice address

212 Heritage Park Dr
Murfreesboro, TN 37129-1549

Phone

(615) 893-5022

Fax

(615) 893-7184

NPI assigned

Sep 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Murfreesboro Radiology & Nuclear Medicine Consultants PLLC

  dba Mid-State Radiology

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1316043524
  Medicare reassignment NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639275589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331039",
            "telephone_number": "615-893-5022",
            "fax_number": "615-893-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291549",
            "telephone_number": "615-893-5022",
            "fax_number": "615-893-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "STANLEY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "14285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3037183",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Mueller, PHARMD
• Monicah Muhomba, PH.D
• Kimberly Terry Mullen, DPH
• Philip C Mullen, RPH
• Philip W Mullen, R PH
• Emily Jane Mullendore, DPH
• Zsolt Muller, D.C.
• Sheree Danielle Mullican, FNP-C
• Mary Jean Mullinix, LCSW
• Erin Shea Mullins

• Diagnostic Radiology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.