Mulligan Medical LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MULLIGAN MEDICAL LLC

Practice address

9312 E Raintree Dr
Scottsdale, AZ 85260-2094

Phone

(480) 291-6565

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth G Wright

Title

Project Manager

Phone

(318) 527-1511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Ardavanis

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1508249061
  Medicare reassignment NPD
• Jamie W Wright, DO

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1174514244

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1962094805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7295 N SCOTTSDALE RD UNIT 1002",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531631",
            "telephone_number": "480-291-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602094",
            "telephone_number": "480-291-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLIGAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "318-527-1511"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Caitlin Mull, PA-C
• Jennifer Michelle Mullen, MS, LPC
• Kylie Mullen, ND
• Rosemarie Mullen, DPT
• Sadie Faye Muller, PA-C
• Elizabeth Mullins, LAC
• James Seamus Mulloy, MD
• Eoin Mulroy, MD
• Multi Specialty Physicians Group Inc
• Multispecialty Group of Arizona LLC

• Medical Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.