Savanah Palen Mullen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08947 Issued in NC

Practice address

10208 Cerny St Ste 204
Raleigh, NC 27617-7885

Phone

(919) 381-5540

Fax

(919) 381-5547

NPI assigned

May 31, 2019

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 names 1

• Savanah Haley Palen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Diehl Plastic Surgery, PLLC

  • Specialist
  • Raleigh, NC
  • NPI 1871823591
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1790343192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 GREAT ENO PATH RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786935",
            "telephone_number": "407-595-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 CERNY ST STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177885",
            "telephone_number": "919-381-5540",
            "fax_number": "919-381-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "SAVANAH",
        "middle_name": "PALEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANAH",
            "last_name": "PALEN",
            "middle_name": "HALEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McKenzie Mulhall
• Anna Mulhollem
• Ashley Mulkeen-Bey
• Morgan Eileen Mullaney, MD
• Dora Mae Mullen, M.S.W LCSW
• Jessica Hope Mullenix, AGNP
• Allison Kathleen Mullin, PA
• Kiernan David Mullin
• Carla Denise Mullins, LCSW-A
• Jennifer Mullins, CPNP

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.