Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083614614 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Harold Mikulics , MD

Orthopaedic Surgery • Poway, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Mikulics has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 26, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mikulics, MD was a registered Orthopaedic Surgery practicing in Poway, CA. Throughout an active medical career spanning 1 years, Dr. Mikulics provided care at the practice location at 15644 POMERADO RD until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

15644 Pomerado Rd
Suite 204

Poway, CA 920642400

Telephone 8584515740
Fax 8584519176
Associated Practice Facility / Clinic
🏢 Paul Neustein Md Inc Facility NPI 1396873410

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.3 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Poway, CA (2527 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA G64129

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Robert Lawson , DPM

Podiatrist - Primary Podiatric Medicine

NPI 1003911900

Doctor of Podiatric Medicine

NPI 1013134121

Master of Science, Registered Dietitian, HHP

NPI 1164885869

Doctor of Psychology (Psy.D.)

Perla Kimball , LAC

Acupuncturist

NPI 1205074903

Licensed Acupuncturist

Dr. Roger Bitar , MD

Internal Medicine - Infectious Disease

NPI 1225153737

Doctor of Medicine (M.D.)

Dr. Barry Aller , DDS

Dentist - General Practice

NPI 1255460564

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

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Updated Practice Location November 05, 2010

Registered at 15644 POMERADO RD, SUITE 204, POWAY, CA 920642400 (Tel: 8584515740)

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Updated Business Mailing Address November 05, 2010

Registered at PO BOX 1180, POWAY, CA 920741180 (Tel: 8584515740)

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Provider Name / Credentials Updated November 05, 2010

Recorded as MARK MIKULICS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2010

Orthopaedic Surgery (License #G64129 in CA)

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NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083614614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: November 05, 2010
Deactivation Date: March 21, 2006

Mailing Address

Po Box 1180

Poway, CA 920741180

Phone: 8584515740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.