Active NPI
Jeffrey C. Mull, M.D.
- Emergency Medicine Physician
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD13544
- Practice address
- Oregon State University Student Health Services
Plageman 201
Corvallis, OR 97331 - Phone
- (541) 737-3106
- Fax
- (541) 737-4530
- NPI assigned
- Jun 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD13544 | OR | Primary |
Addresses
Primary practice location
Oregon State University Student Health Services
Plageman 201
Corvallis, OR 97331
Mailing address
6607 SW Winding Way
Corvallis, OR 97333-2608
Phone (541) 929-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health West Valley | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Firstcare Medical Foundation | Emergency Medicine | Past | Accepting new patients |
| Salem Emergency Physicians Service, PC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
512 Main St E
Ste 300
Monmouth, OR 97361
Phone (503) 838-1182
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Bldg A
Salem, OR 97301
Phone (503) 370-5634
1002 Bellevue St SE
Salem, OR 97301
Phone (503) 561-5554
Interoperability endpoints
- jmull19757@direct.salemhealth.org
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
-
- Emergency Medicine Physician
- Salem, OR
- NPI 1063454395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902833767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6607 SW WINDING WAY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973332608",
"telephone_number": "541-929-4440",
"fax_number": "541-737-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OREGON STATE UNIVERSITY STUDENT HEALTH SERVICES",
"address_2": "PLAGEMAN 201",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97331",
"telephone_number": "541-737-3106",
"fax_number": "541-737-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULL",
"first_name": "JEFFREY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD13544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.