Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. MICHAEL PATRICK MCMULLEN
Active
Individual
DR. MICHAEL PATRICK MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
163485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000911507002
HEALTH NOW PROVIDER #
NY
05
—
01089129
—
NY
01
—
1573
BLUE SHIELD PROVIDER #
NY
01
—
5008322
AETNA PROVIDER NUMBER
NY
01
—
BF101110
PREFERRED CARE PROVIDER
NY
01
—
MM31444B
RAILROAD MEDICARE #
NY
01
—
P010163485
BC/BS PAYEE ID
NM
Enumeration date
04/03/2006
Last updated
11/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up