Charles C Mauldin in Springfield - Physical Medicine & Rehabilitation

Charles C Mauldin - NPI 1194718270

Charles C Mauldin is a Physical Medicine & Rehabilitation in Springfield, Missouri. Charles C Mauldin practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Charles C Mauldin is 1194718270. The last update date is 2007-09-27.

Charles C Mauldin's current location address is 5015 S Glenhaven Ave, Springfield, Missouri. You can contact this provider via phone number 4178817808. The mailing address for Charles C Mauldin is 5015 S Glenhaven Ave, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles C Mauldin
Address 5015 S Glenhaven Ave, Springfield, Missouri
Phone Number 4178817808
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1194718270
Provider Enumeration Date 2005-08-24
Last Updated Date 2007-09-27

Provider Mailing Address Detail

Address 5015 S Glenhaven Ave
City Springfield
State Missouri (MO)
Post Code 658047800
Phone Number 4178817808
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No MDR6J28
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202697900 MO --
43151887165802A MO TRIWEST
ACS#140740000 MO US POSTAL SERVICE
2079425 MO FIRST HEALTH
19288 MO BLUE CROSS/BLUE SHIELD
26D1025378 MO CLIA
9378408 MO PHCS

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FAQs about Charles C Mauldin

What is the unique identifier code issued to Charles C Mauldin by the Centers for Medicare & Medicaid Services (CMS)?

The Charles C Mauldin has been assigned the NPI (National Provider Identifier) 1194718270. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Charles C Mauldin?

The Charles C Mauldin is physically situated at 5015 S Glenhaven Ave, in the city of Springfield, state of MO, with the postal code 658047800.

What is Charles C Mauldin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Charles C Mauldin is Physical Medicine & Rehabilitation, and the corresponding taxonomy classification code for this specialized field is 208100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194718270 to Charles C Mauldin?

The Charles C Mauldin received its 1194718270 assignment from the Centers for Medicare & Medicaid Services on 2005-08-24.

As of what date were the details pertaining to Charles C Mauldin last refreshed?

The information related to the Charles C Mauldin, including its address, specialty, and other relevant details, was last updated on 2007-09-27.

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