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Deactivated NPI 1184664625 Deactivated / Inactive NPI Male Practitioner

Dr. David E Mullane , MD

Surgery - Vascular Surgery • Everett, 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. David Mullane has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2006
NPI Deactivation Date March 04, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. David Mullane, MD was a registered Surgery - Vascular Surgery practicing in Everett, MA. Throughout an active medical career spanning 16 years, Dr. Mullane provided care at the practice location at 512 BROADWAY until profile deactivation on 2022-03-04.

Practice Location & Contact Primary Location

Practice Address

512 Broadway
Suite 2

Everett, MA 021493738

Telephone 6173873129
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Everett, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Everett, MA (169 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

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MA 36602

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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 04, 2022

Record deactivated on March 04, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 512 BROADWAY, SUITE 2, EVERETT, MA 021493738 (Tel: 6173873129)

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Updated Business Mailing Address July 08, 2007

Registered at 512 BROADWAY, SUITE 2, EVERETT, MA 021493738 (Tel: 6173873129)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MULLANE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #36602 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: 1184664625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: July 08, 2007
Deactivation Date: March 04, 2022

Mailing Address

512 Broadway, Suite 2

Everett, MA 021493738

Phone: 6173873129

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.