Ray Edward McMullen Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA-000398-L Issued in PA

Practice address

1120 Pike St
Sci-Smithfield
Huntingdon, PA 16652-1117

Phone

(814) 643-9342

NPI assigned

Jul 18, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1689873796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 JENNIFER DR",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170669111",
            "telephone_number": "814-542-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PIKE ST",
            "address_2": "SCI-SMITHFIELD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521117",
            "telephone_number": "814-643-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "RAY",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA-000398-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1009762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF PROFESSIONAL AN",
            "identifier": "MA-000398-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Louisa McCubbin, M. D.
• Claudia McDowell, DPT
• Susan Marie McGlynn-Miller, OT
• Renata A McKenzie, RPH
• Kevin Edward McKinney, CRNP
• Kylie McNerlin, PA-C
• Elizabeth Marie McNitt, M.S. CF-SLP
• Lindsay Mease
• Merakey Pennsylvania
• Debra Booher Messner, CRNP

• Medical Physician Assistant in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.