CHARLES J. MCMULLIN
NPI 1114116605
Specialist in Osage Beach, MO

Active since October 19, 2007
54 HOSPITAL DR, SUITE 205, OSAGE BEACH, MO 65065(573) 302-2276 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles J. Mcmullin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES J. MCMULLIN (NPI 1114116605) is a healthcare organization registered as a specialist in Osage Beach, Missouri and active in the NPI registry since October 2007. The organization lists Beth E. Carlile, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1114116605
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLES J. MCMULLIN
Location Address54 HOSPITAL DR, SUITE 205Osage Beach, MO 65065-3050
Mailing Address54 Hospital Dr Ste 205Osage Beach, MO 65065-3050 · (573) 302-2276
Organization SubpartNo
Authorized OfficialBeth E. CarlileBilling Manager · (573) 364-2227
Enumeration DateOctober 19, 2007
NPI 1114116605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · MD117270
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

54 HOSPITAL DR, Osage Beach, MO 65065

Other Identifiers 1

Medicare UPINF79542MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Clinical Exercise Physiologist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Specialist
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Physician Assistant
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Internal Medicine (Pulmonary Disease)
54 HOSPITAL DR, SUITE 205
OSAGE BEACH, MO 65065
Physical Therapist (Hand)
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Dietitian, Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065
Nurse Anesthetist, Certified Registered
54 HOSPITAL DR
OSAGE BEACH, MO 65065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles J. Mcmullin's NPI number?

The NPI number for Charles J. Mcmullin is 1114116605. It was assigned to this organization in the NPPES registry on October 19, 2007.

Where is Charles J. Mcmullin located?

Charles J. Mcmullin is located at 54 Hospital Dr Suite 205, Osage Beach, MO 65065. The listed phone number is (573) 302-2276.

What is Charles J. Mcmullin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles J. Mcmullin was last updated on October 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.