Active NPI
John F Mullaney, MD
- Internal Medicine Physician
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD16996
- Practice address
- 481 Kingstown Rd
Wakefield, RI 02879-3626 - Phone
- (401) 789-0283
- Fax
- (401) 789-0314
- NPI assigned
- Aug 13, 2006
- Last updated
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16996 | RI | Primary |
Addresses
Primary practice location
481 Kingstown Rd
Wakefield, RI 02879-3626
Mailing address
481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 789-0283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16996 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
Locations
3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200
4 Farm Springs Rd
Farmington, CT 06032
Phone (860) 284-5200
1260 Silas Deane Hwy
Ste 103
Wethersfield, CT 06109
Phone (860) 529-6218
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- johnmullaney@scim.allscriptsdirect.net
Organizations & group practices 1
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": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1669484929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793626",
"telephone_number": "401-789-0283",
"fax_number": "401-789-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793626",
"telephone_number": "401-789-0283",
"fax_number": "401-789-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANEY",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.