DANIEL J COUGHLIN (NPI# 1629363213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629363213 |
| Entity Type | Individual |
| Full Name | DANIEL J COUGHLIN |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
Wramc Bldg 2 Rm 2g01 6900 Georgia Avenue, Nw Washington DC 20307-0001 |
| Practice Telephone | 2539681110 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD60955538 | WA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | NA | DC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD60955538 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 888 Swift Blvd, Richland, WA 993523514 | 5099464611 | 5099422812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437365723 | Daniel Coughlin | Marriage & Family Therapist | 1131 San Felipe Rd, Hollister, CA 95023-2800 | 2007-05-15 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841219144 | Peter Brown | Neurological Surgery | 915 6th Ave Ste 200, Tacoma, WA 98405-4682 | 2006-07-18 |
| 1295796647 | Laura M Lynam | Neurological Surgery | 316 Martin Luther King Jr Way Ste 408, Tacoma, WA 98405-4261 | 2006-03-28 |
| 1144733668 | Caoilin Hoctor | Neurological Surgery | 1608 S J St Fl 5, Tacoma, WA 98405-4930 | 2017-11-06 |
| 1295027472 | Amilyn Mee Young Han Taplin | Neurological Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2011-05-06 |
| 1568691251 | Oanh Nguyen | Neurological Surgery | 1608 S J St, Tacoma, WA 98405-4930 | 2009-07-02 |
| 1619111853 | Ryan Patrick Brennan | Neurological Surgery | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2009-04-30 |
| 1306005988 | Frederick Stephens II | Neurological Surgery | Madigan Army Medical Ctr, 9040 Jacskon Ave, Tacoma, WA 98431-0001 | 2008-06-09 |
| 1689766255 | Anthony E Harris | Neurological Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405 | 2006-09-29 |
| 1023127727 | Christopher J Smythies | Neurological Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-08-29 |
| 1497766638 | Multicare Health System | Neurological Surgery | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2006-08-11 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.