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CHARLES J. MCMULLIN JR. M.D.
NPI 1215049788
Specialist in Linn Creek, MO

Active since August 31, 2006PECOS Enrolled
300 FOXHEAD SHORES DR, LINN CREEK, MO 65052(573) 480-4721 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Charles J. Mcmullin Jr. M.d. NPPES

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

CHARLES J. MCMULLIN JR. M.D. (NPI 1215049788) is an individual specialist in Linn Creek, Missouri, licensed in Missouri (MD117270) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215049788
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCHARLES J. MCMULLIN JR.Credential: M.D.
Location Address300 FOXHEAD SHORES DRLinn Creek, MO 65052-2563
Mailing Address300 Foxhead Shores DrLinn Creek, MO 65052-2563 · (573) 480-4721
Phone(573) 480-4721
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 21, 2011
✔ NPI 1215049788 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.
300 FOXHEAD SHORES DR, Linn Creek, MO 65052
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Other Identifiers 3

Medicare UPINF79542MO
Medicare PIN000014745MO
Medicaid205428204MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles J. Mcmullin Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Mcmullin's NPI number?

The NPI number for Charles Mcmullin is 1215049788. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Charles Mcmullin located?

Charles Mcmullin practices at 300 Foxhead Shores Dr, Linn Creek, MO 65052. The listed phone number is (573) 480-4721.

What is Charles Mcmullin's specialty?

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

Is Charles Mcmullin enrolled in Medicare?

Yes. Charles Mcmullin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Mcmullin was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.