Individual
SCOTT TAYLOR MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19136
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00184
SHARE ADVANTAGE/MERCY RD
NE
01
—
09-01142
SHARE ADVANTAGE/LAKESIDE
NE
05
—
0949685
—
IA
01
—
1020
MIDLANDS CHOICE
NE
01
—
30170
BCBS OF NEBRASKA
NE
05
—
47063010113
—
NE
Enumeration date
05/31/2006
Last updated
10/30/2025
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