Active NPI
Patrick J Mulleavy, CRNA
- Anesthesiology Physician
- Tamarac, FL
National Provider Identifier
1780698746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ARNP2008072
- Practice address
- 7154 N University Dr # 316
Tamarac, FL 33321-2916 - Phone
- (954) 720-3188
- Fax
- (954) 586-2589
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ARNP2008072 | FL | Primary |
Addresses
Primary practice location
7154 N University Dr # 316
Tamarac, FL 33321-2916
Mailing address
109 Royal Park Dr Apt 4H
Oakland Park, FL 33309-5873
Phone (954) 543-4372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306734300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francisco Alvarez-Gil, M.D., P.a. | Anesthesiology | Past | Accepting new patients |
| Millennium Anesthesia PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1215913553
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- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1780698746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ROYAL PARK DR APT 4H",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095873",
"telephone_number": "954-543-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7154 N UNIVERSITY DR # 316",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212916",
"telephone_number": "954-720-3188",
"fax_number": "954-586-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEAVY",
"first_name": "PATRICK",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ARNP2008072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306734300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.