Mulligan Dermatology, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3566003 Issued in OH

Legal business name

MULLIGAN DERMATOLOGY, INC

Practice address

1991 Crocker Rd
Suite 310
Westlake, OH 44145-6969

Phone

(440) 899-2300

Fax

(440) 617-9058

NPI assigned

May 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian J Essi, LPA

Title

Office Manager

Phone

(440) 899-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard R Assaf, MD

  • Dermatology Physician
  • Westlake, OH
  • NPI 1669421392
  NPD (past)
• Meghan M Crute, M.D.

  • Dermatology Physician
  • Rocky River, OH
  • NPI 1255656096
  NPD (past)
• Halle Smolinski, APRN

  • Nurse Practitioner
  • Westlake, OH
  • NPI 1780170282
  NPD (past)
• Farah Edds, MPAS, PA-C

  • Medical Physician Assistant
  • Sarasota, FL
  • NPI 1386191724
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1760617500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD",
            "address_2": "SUITE 310",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456969",
            "telephone_number": "440-899-2300",
            "fax_number": "440-617-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD",
            "address_2": "SUITE 310",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456969",
            "telephone_number": "440-899-2300",
            "fax_number": "440-617-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLIGAN DERMATOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "ESSI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-899-2300",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "3566003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Ruth Huntington Mueller, LPCC
• Marilyn J Mueller, OT
• Ismail B Muhammad
• Muhammed H. Zahra, MD
• Matthew Mullen
• Kathleen A Mulligan, MD
• Shanyece Mungin, RBT
• Enaam N Muntaser, FNP
• Myar Muntaser
• Sarah Munteanu

• Dermatology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Dermatology Physician in Ohio

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