Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Mullan, MD

Individual provider Maternal & Fetal Medicine Physician · NPI 1699185652

Samantha Mullan, MD is an Obstetrics/Gynecology in Cincinnati, Ohio. Qualified in 2021, 5 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky, Missouri and Ohio.

Years since qualifying
5
Licensed in
IN, KY, MO, OH
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 Dixmyth Ave Ste 867.2
Cincinnati, OH 45220-2475
Phone: (513) 862-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Village Dr, Edgewood, KY 41017-3403 — (859) 301-2445
  • 6420 Clayton Rd Ste 2701, Saint Louis, MO 63117-1811 — (314) 768-3635

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 35.141231 (OH)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X · Licence 55023 (KY)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X · Licence 2018011076 (MO)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X · Licence 01088094A (IN)

Record details

NPI number1699185652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 30, 2014
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address4685 Forest Ave, Cincinnati, OH 45212-3397

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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