Pamela M Mulshine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036115325 Issued in IL

Practice address

907 Franklin Ave
River Forest, IL 60305-1337

Phone

(708) 488-0434

NPI assigned

Jul 4, 2006

Last updated

Jul 22, 2009By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1760412746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 FRANKLIN AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051337",
            "telephone_number": "708-488-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 FRANKLIN AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051337",
            "telephone_number": "708-488-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULSHINE",
        "first_name": "PAMELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036115325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115325",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Express Care 2, Inc
• Clara May Miller, R.N.
• William Millman, M.D.
• Gayla M Morales, OTR/L
• Jessica A Mortillaro, ATC
• Jennifer Kirk Munaretto, DMD, MS
• Raymond F Munaretto, D.D.S.
• Richard A Munaretto, D.D.S., M.S.
• Richard Alex Munaretto, D.D.S
• John Edward Mundt, PH.D.

• Internal Medicine Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.