Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel Walter Mulligan III, PA-C

Individual provider Physician Assistant · NPI 1649257056

Daniel Walter Mulligan III, PA-C is a Physician Assistant in Lincoln, Rhode Island. Qualified in 2004, 22 years ago. Practices with Northwest Community Health Care, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
22
Licensed in
RI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2 Wake Robin Rd
Lincoln, RI 02865-4241
Phone: (401) 333-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 285 Promenade St, Providence, RI 02908-5794 — (401) 459-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00339 (RI)

Record details

NPI number1649257056
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESMay 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Northwest Community Health Care — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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