STACEY MULRY MD – NPI #1437779527
Pediatrics

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.

STACEY MULRY is a physician located in FRANKLIN, WI. NPPES has assigned the NPI number 1437779527 to STACEY MULRY on April 20, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name STACEY FORTON. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 2 years ago on Feb 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACEY MULRY below.

NPI Profile for
STACEY MULRY

NPI Number
1437779527
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACEY MULRY
Former Name: STACEY FORTON
Credentials
MD
Primary location
7322 W RAWSON AVE
FRANKLIN, WI 53132-8117
Phone: (414) 433-9010 Fax: (414) 433-9007
Mailing address
1740 N PALMER ST
MILWAUKEE, WI 53212-3928
Phone: (616) 581-2595 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STACEY MULRY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI1437779527
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
WI 81863-20

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.