Maulin Medical LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MAULIN MEDICAL LLC

Practice address

486 E Gentry Dr
Pueblo West, CO 81007-3424

Phone

(719) 647-2938

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Randall James Maulin, N/A

Title

President

Phone

(719) 647-2938

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1871801902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 E. GENTRY DR.",
            "city": "PUEBLO WEST,",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "719-647-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 E GENTRY DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073424",
            "telephone_number": "719-647-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULIN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MAULIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-647-2938",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Mandery, R.N.
• Veronika Marmolejo, MSW, SWC
• Jodi Martinez Magallanes
• Talonna Martinez, LCSW
• Mary C. Martino, AU.D
• Nina Maurello, MSW
• Laura Lynn Maynes Cortez, MSW
• Amanda McBeain
• Debra J McCormack, MD
• James W McCullough, MD

• Parenteral & Enteral Nutrition Supplies (DME) in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.