Robert Mullin, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

507 Issued in MN

Practice address

2805 Campus Dr
Suite 325
Plymouth, MN 55441-2676

Phone

(763) 550-1013

Fax

(763) 550-0615

NPI assigned

Jul 20, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Advanced Foot Care Clinic,LTD

  • Podiatrist
  • Minneapolis, MN
  • NPI 1053438648
  NPD (past) Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801895941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 325",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-550-1013",
            "fax_number": "763-550-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 325",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-550-1013",
            "fax_number": "763-550-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "ROBERT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884525500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mugge, DPT
• Huda Abdirizak Muhammad
• Rhoda Njeri Muiru, CRNA
• Asha K. Mukherjee, PHD, LP
• Maren Mullen
• Angela May Bridgeman Munson, APRN, CRNA
• Brendan Murphy, PA-C
• Cristin Murray, MA
• Benjamin Musburger, LMFT
• Fatima Mustafa

• Podiatrist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.