Mark McMullen, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME49726 Issued in FL

Practice address

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Phone

(352) 621-3100

Fax

(352) 621-3121

NPI assigned

Jul 25, 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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Pathology

Education

Texas Tech University Health Science Center School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patriot Podiatry PLLCGroup PAC ID 5799906996, 4 clinicians

Carl Salvati, DPM, LLCGroup PAC ID 8325343437, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Carl Salvati DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
  • NPI 1780040568
  Medicare reassignment Care Compare group NPD
• Patriot Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
  • NPI 1801299870
  Medicare reassignment Care Compare group NPD
• Tamarac Pathology Group PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Crystal River, FL
  • NPI 1427019108
  Medicare reassignment NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1740203389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2030",
            "city": "HOMOSASSA SPRINGS",
            "state": "FL",
            "postal_code": "344472030",
            "telephone_number": "352-621-3100",
            "fax_number": "352-621-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-621-3100",
            "fax_number": "352-621-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME49726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378304900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Yount McDonald, CRNA
• Hilda Ann McFall-Fialko
• Jennifer Nicole McFall, ARNP
• Cheryl D McFarland, D.C
• Darrin Lee McGhan, P.A.
• Joseph Patrick McNerney, D.O.
• Rachel Marie McVey, LMHC
• Meadowcrest Family Physicians, P.a.
• Meadowcrest Family Practice PA
• Meadowcrest Molecular Diagnostics LLC

• Anatomic Pathology & Clinical Pathology Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.