Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588892483 Individual Practitioner Female Practitioner

Dr. Jennifer Latrise Mullen , DO

Pediatrics • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Mullen, DO is a registered healthcare professional specializing in Pediatrics in Maumee, OH. Practice services are available at 660 BEAVER CREEK CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

660 Beaver Creek Cir
Suite 100

Maumee, OH 435371745

Telephone 4198916221
Fax 4198933394
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Maumee, OH (3057 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

CMS Verified: 2025-01-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX V4441

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 34010645

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

920 Frostwood Dr Ste 2.300

Houston, TX 770242314

Phone: 7133385519

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1003818998

Doctor of Medicine (M.D.)

NPI 1023010915

Doctor of Medicine (M.D.)

NPI 1033111752

Doctor of Medicine (M.D.)

NPI 1396737300

Doctor of Medicine (M.D.)

NPI 1568588804

Doctor of Medicine (M.D.)

NPI 1811556137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2017

Registered at 660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 435371745 (Tel: 4198916221)

📍
Updated Business Mailing Address June 01, 2017

Registered at 660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 435371745 (Tel: 4198916221)

👤
Provider Name / Credentials Updated June 01, 2017

Recorded as JENNIFER MULLEN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2017

Pediatrics (License #34010645 in OH)

NPI Profile Active August 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2012

Registered at 660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 435371745 (Tel: 4198916221)

📍
Updated Business Mailing Address August 29, 2012

Registered at 660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 435371745 (Tel: 4198916221)

👤
Provider Name / Credentials Updated August 29, 2012

Recorded as JENNIFER MULLEN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2012

Pediatrics (License #34010645 in OH)

🟢
Initial NPI Registration & Enumeration June 30, 2009

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: 1588892483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2009
Last Update: January 16, 2025
Sole Proprietor: No

Mailing Address

660 Beaver Creek Cir, Suite 100

Maumee, OH 435371745

Phone: 4198916221

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.