Kevin Michael Mcmullen
Surgery (Vascular Surgery)

Address: 11011 Hefner Pointe Dr, Ste A, Oklahoma City, OK 73120-5005
Phone: 4057498346

Kevin Michael Mcmullen (NPI# 1952388365) 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) 1952388365
Entity Type Individual
Full Name Kevin Michael Mcmullen
Credential MD
Gender Male
Practice Address 11011 Hefner Pointe Dr
Ste A
Oklahoma City
OK 73120-5005
Practice Telephone 4057498346
Practice Fax Number 4057498349
Mailing Address Po Box 26525
Section 47
Oklahoma City
OK 73126-0525
Mailing Telephone 4057498346
Mailing Fax Number 4057498349
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-12-28
Last Update Date 2014-09-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2086S0129X Surgery · Vascular Surgery Allopathic & Osteopathic Physicians 17646 OK

Other Providers KEVIN MCMULLEN

NPI Name Taxonomy Address Enumeration
1225442247 Kevin Mcmullen Student in an Organized Health Care Education/Training Program 80 Amsden St, Arlington, MA 02474-5502 2014-06-18
1093797045 Kevin P Mcmullen Radiology 550 University Blvd, Indianapolis, IN 46202-5149 2005-11-16

Physician Overview

NPI 1952388365
PAC ID by PECOS 2264346238
Professional Enrollment ID I20031120000499
Full Name Kevin Mcmullen
Gender M
Credential MD
Medical School TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1986
Primary Specialty GENERAL SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370201 SURGICAL HOSPITAL OF OKLAHOMA, LLC

Office Location

Street Address 11011 HEFNER POINTE DR
STE A
City OKLAHOMA CITY
State OK
Zip Code 73120-5005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366751612 Crain Optical LLC Eyewear Supplier 11011 Hefner Pointe Dr, Suite B, Oklahoma City, OK 73120-5005 2010-10-05
1649326950 Russell D Crain Md PC Specialist 11011 Hefner Pointe Dr, B, Oklahoma City, OK 73120-5005 2007-01-27
1629091517 Russell Dean Crain Ophthalmology 11011 Hefner Pointe Dr, Suite B, Oklahoma City, OK 73120-5005 2006-07-25
1124005533 Kevin Michael Mcmullen Md Pllc Surgery 11011 Hefner Pointe Dr, Suite A, Oklahoma City, OK 73120-5005 2005-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396218152 Summer Smith Therapy Social Worker 11209 N May Ave Ste B, Oklahoma City, OK 73120 2019-01-04
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1013459239 Hefner Chiropractic Pllc Chiropractor 2236 W Hefner Rd, Suite 200, Oklahoma City, OK 73120 2016-11-07
Find all providers in zip 73120

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972820355 Paul Robert Long Surgery 4050 W Memorial Rd Ste 200, Oklahoma City, OK 73120-8382 2010-04-26
1942304241 Michael Olen Riggs Surgery 13901 Mcauley Blvd., Ste. 210, Oklahoma City, OK 73134-8705 2006-09-08
1386753200 Advanced Surgical Associates, PC Surgery 3330 Nw 56th St., Ste 208, Oklahoma City, OK 73112 2006-08-30
1215324553 Cardiovascular Health Clinic Pllc Surgery 3200 Quail Springs Parkway, Ste 200, Oklahoma City, OK 73134 2015-04-24
1881000941 Saints Medical Group LLC Surgery 608 Nw 9th St, Suite 5010, Oklahoma City, OK 73102-1068 2014-07-09
1033408497 Ssm Healthcare of Oklahoma, Inc Surgery 608 Nw 9th St, Suite 5204, Oklahoma City, OK 73102-1068 2011-04-06
1316251507 Lds Spine Pllc Surgery 4050 W Memorial Rd, Third Floor, Oklahoma City, OK 73120-8382 2010-07-30
1750513230 Jgm Spine, Pllc Surgery 3200 Quail Springs Pkwy, Ste 200, Oklahoma City, OK 73134-2612 2009-08-17
1487814653 Kautilya A Mehta Md Pllc Surgery 608 Nw 9th St, Oklahoma City, OK 73102-1068 2008-06-11
1336327832 Saints Medical Group, LLC Surgery 608 Nw 9th St, Ste 5204, Oklahoma City, OK 73102-1068 2008-02-06
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73120

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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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