Huub Jozef Mulders, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD042587E Issued in PA

Practice address

2505 Boulevard of the Generals
Jeffersonville, PA 19403-3698

Phone

(610) 630-8600

Fax

(610) 630-9599

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 14, 2012 through Dec 14, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720109770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BOULEVARD OF THE GENERALS",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033698",
            "telephone_number": "610-630-8600",
            "fax_number": "610-630-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 BOULEVARD OF THE GENERALS",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033698",
            "telephone_number": "610-630-8600",
            "fax_number": "610-630-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDERS",
        "first_name": "HUUB",
        "middle_name": "JOZEF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042587E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffersonville Internal Medicine, P.C.
• Jeffersonville Smiles PC
• Lifeline Chiropractic, Inc.
• Main Street Counseling, LLC
• Pamela Martin, L.P.C.
• Maria Pena-Ariet, M.D.
• Lindsay Anne Phillips, PSY.D.
• Ruth Rincker, LCSW
• Rite Aid of Pennsylvania LLC
• Michael Conrad Roman, D.O.

• Internal Medicine Physician in Jeffersonville, PA
• Providers in Jeffersonville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.