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Deactivated NPI 1700825536 Deactivated / Inactive NPI Male Practitioner

Dr. John B Mulliken , MD

Plastic Surgery • Boston, MA

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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. John Mulliken has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2006
NPI Deactivation Date March 19, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. John Mulliken, MD was a registered Plastic Surgery practicing in Boston, MA. Throughout an active medical career spanning 20 years, Dr. Mulliken provided care at the practice location at 300 LONGWOOD AVE until profile deactivation on 2026-03-19.

Practice Location & Contact Primary Location

Practice Address

300 Longwood Ave
Childrens Hospital Division Of Plastic Surgery

Boston, MA 021155724

Telephone 6173557686
Fax 6177381657
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
55 Specialists

Practicing in Boston, MA (152 Statewide)

Telehealth Adoption Rate
12.7% 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

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 29642

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1053385245

Doctor of Medicine (M.D.)

NPI 1437104726

Doctor of Medicine (M.D.)

Dr. Gary Rogers , MD

Plastic Surgery

NPI 1487693677

Doctor of Medicine (M.D.)

Dr. David Kim , MD

Plastic Surgery

NPI 1528202553

Doctor of Medicine (M.D.)

Dr. Bonnie Padwa , DMD, MD

Oral & Maxillofacial Surgery

NPI 1558351866

Doctor of Dental Medicine, Doctor of Medicine (M.D.)

Dr. Tal Kaufman Goldberg , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1568924389

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 19, 2026

Record deactivated on March 19, 2026

NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2008

Registered at 300 LONGWOOD AVE, CHILDRENS HOSPITAL DIVISION OF PLASTIC SURGERY, BOSTON, MA 021155724 (Tel: 6173557686)

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Updated Business Mailing Address June 17, 2008

Registered at 300 LONGWOOD AVE, HU-158, BOSTON, MA 021155724 (Tel: 6173557384)

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Provider Name / Credentials Updated June 17, 2008

Recorded as JOHN MULLIKEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Plastic Surgery (License #29642 in MA)

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Initial NPI Registration & Enumeration June 06, 2006

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: 1700825536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: June 17, 2008
Deactivation Date: March 19, 2026

Mailing Address

300 Longwood Ave, Hu-158

Boston, MA 021155724

Phone: 6173557384

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

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