Theodorus Johannes Mulder

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Theodorus Johannes Mulder basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Theodorus Johannes Mulder
Credential :	M.D.
Gender :	Male

Business Address:

Theodorus Johannes Mulder address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1514 Jefferson Highway New Orleans, LA, 70121 United States
Phone Number :	504-842-4000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1982615407
NPI Entity Type :	Individual
First Enrolment Date :	10 Aug, 2006
Last Updated On :	22 Sep, 2011

Medicare Participation:

Theodorus Johannes Mulder participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1658470422
Medicare Enrollment ID :	I20070619000524
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1987
Accepts Medicare?	Yes. Theodorus Johannes Mulder accepts medicare insurance.

Group Practice Association:

Theodorus Johannes Mulder is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Theodorus Johannes Mulder is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ochsner Clinic Llc	8224933619	2390	2700 Napoleon Ave New Orleans, LA - 701156914 Ph: 5048942881	Yes
Ochsner Clinic Llc	8224933619	2390	1514 Jefferson Hwy New Orleans, LA - 701212429 Ph: 5048423000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodorus Johannes Mulder are as mentioned. Primary taxonomy code for Theodorus Johannes Mulder, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	11803R	LA
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD.11803R	LA

Legacy Identifiers:

Other legacy medical identifiers of Theodorus Johannes Mulder such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00123308	MEDICAID	MS
1945846	MEDICAID	LA
1480835	MEDICAID	LA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1514 Jefferson Hwy New Orleans, LA, 70121 United States
Phone Number :	504-842-4000

Business Location:

Patients can refer following map for directions to Theodorus Johannes Mulder practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.