Kevin A Mullins
Internal Medicine (Hematology & Oncology)

Address: 100 Hospital Ave, Du Bois, PA 15801-1440
Phone: 8143753535

Kevin A Mullins (NPI# 1386744563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1386744563
Entity Type Individual
Full Name Kevin A Mullins
Credential DO
Gender Male
Practice Address 100 Hospital Ave
Du Bois
PA 15801-1440
Practice Telephone 8143753535
Practice Fax Number 8143753563
Mailing Address Po Box 447
100 Hospital Ave
Du Bois
PA 15801-0447
Mailing Telephone 8143753535
Mailing Fax Number 8143753563
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-09-25
Last Update Date 2007-10-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians OS007716L PA

Other Provider Identifier

State Identifier Issuer Type Code
PA 0015479760002 MEDICAID

Other Providers KEVIN MULLINS

NPI Name Taxonomy Address Enumeration
1326589995 Kevin Mullins Counselor 890 N Dean Rd, Suite 100, Auburn, AL 36830-9440 2017-03-16
1487077293 Kevin Mullins Student in an Organized Health Care Education/Training Program 4610 X St, Sacramento, CA 95817-2200 2014-01-30
1982674461 Kevin Mullins Neurological Surgery 1175 Montauk Hwy, Ste 6, West Islip, NY 11795-4939 2006-01-25

Physician Overview

NPI 1386744563
PAC ID by PECOS 0941309157
Professional Enrollment ID I20101004001413
Full Name Kevin A Mullins
Organization Legal Name ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN PA PC
Phone Number 8147885652
Gender M
Medical School KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1987
Primary Specialty HEMATOLOGY/ONCOLOGY
Group Practice PAC ID 9133166903
Number of Group Practice Members 10
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390086 PENN HIGHLAND DUBOIS
391312 PENN HIGHLANDS BROOKVILLE
391315 PENN HIGHLANDS ELK
390052 CLEARFIELD HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_110_1 Preventive Care and Screening: Influenza Immunization 40%
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99%

Office Location

Street Address 100 HOSPITAL AVE
City DU BOIS
State PA
Zip Code 15801-1440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627580 Dennis E Kirst Nurse Anesthetist, Certified Registered 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 2005-05-31
1427520519 Daniel Dimattio Nurse Anesthetist, Certified Registered 100 Hospital Ave, Du Bois, PA 15801-1440 2018-12-29
1053895151 Christopher William Curran Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2018-09-24
1033692546 Zeke David Feyock Nurse Practitioner 100 Hospital Ave, Du Bois, PA 15801-1440 2018-09-11
1215418470 Michael Christopher Blose Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2018-08-27
1285114082 Brittany Starr Nurse Practitioner 100 Hospital Ave, Du Bois, PA 15801-1440 2018-08-21
1225517956 Kaitlyn Rae Corby Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2018-08-13
1316431380 Marissa Virginia Morgan Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2018-06-21
1902390743 Rami Wehbi Student in an Organized Health Care Education/Training Program 100 Hospital Ave, Du Bois, PA 15801-1440 2018-06-15
1609367382 Diana Hricova Student in an Organized Health Care Education/Training Program 100 Hospital Ave, Du Bois, PA 15801-1440 2018-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417426115 Mary Barton Nurse Practitioner 635 Maple Avenue, Dubois, PA 15801 2018-11-26
1700368487 Holly Noel Knoll Counselor 490 Jeffers Street, Dubois, PA 15801 2018-08-30
1265918064 Cooper's Counseling, LLC Counselor 2 E Long Ave Ste 236, Du Bois, PA 15801 2018-07-14
1992298160 Dubois Regional Medical Center Family Medicine 145 Hospital Ave Ste 315, Du Bois, PA 15801 2018-06-12
1154814846 Sara Beth Stone Dietitian, Registered 16288 Treasure Lk, Du Bois, PA 15801 2018-06-07
1942790779 Wendi Dawn Wenzel Counselor 490 Jeffers St., Dubois, PA 15801 2018-05-17
1144748443 Nancy Foradora Massage Therapist 200 Narrows Creek Park Road, Dubois, PA 15801 2017-09-07
1679098891 Deborah Jean Mitchell Hearing Instrument Specialist 900 Beaver Drive, Dubois, PA 15801 2017-08-09
1861937757 Shaun M Kanouff Counselor 100 Caldwell Dr., Dubois, PA 15801 2016-12-30
1164897740 Drayer Physical Therapy Institute LLC Physical Therapist 873 Beaver Drive, Dubois, PA 15801 2015-12-08
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356534846 Oncology Hematology Associates of Northern Pa, PC Internal Medicine 635 Maple Ave, Du Bois, PA 15801-2376 2007-08-20
1598865727 Oncology Hematology Associates of Northern Pa, PC Internal Medicine 100 Hospital Ave, Du Bois, PA 15801-1440 2006-09-25
1518067859 Hazem F Elkassas Internal Medicine 100 Hospital Ave, Du Bois, PA 15801-1440 2006-09-25
1861592016 Carmine C Marchioli Internal Medicine 100 Hospital Ave, Du Bois, PA 15801-1440 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053881896 Nicholas Alexander Beam Internal Medicine 20 Expedition Trl Ste 101, Gettysburg, PA 17325-8599 2018-12-04
1891204921 Ahmed Mostafa Internal Medicine Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 2017-09-20
1730607755 Penn State Health Community Medical Group, LLC Internal Medicine 233 College Ave Ste 303, Lancaster, PA 17603-3384 2017-08-30
1831619097 Pinnacle Health Regional Physicians Internal Medicine 233 College Ave Ste 100, Lancaster, PA 17603-3372 2017-06-20
1194193656 Allen Oliff Internal Medicine 1412 Florence Dr, Gwynedd Valley, PA 19437 2015-09-14
1679958912 Lancaster Medical Group, LLC Internal Medicine 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 2015-07-28
1780077735 Arnon I Dreyfuss Internal Medicine 239 Delancey St, Philadelphia, PA 19106-4318 2015-03-16
1124389168 Family Care Centers Inc. Internal Medicine 205 E. Brown St., East Stroudsburg, PA 18301 2012-06-06
1124311956 Joseph Kannarkatt Internal Medicine 25 Monument Rd Ste 294, York, PA 17403-5049 2011-05-26
1780904276 Ross William Rismiller Internal Medicine 7 Overlook Dr, Pottsville, PA 17901-4022 2010-06-07
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City DU BOIS
Zip Code 15801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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