DR. JOHN C. MULLIGAN (NPI# 1689636409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689636409 |
| Entity Type | Individual |
| Full Name | DR. JOHN C. MULLIGAN |
| Credential | M.D. |
| Practice Address |
315 Martin Luther King Jr Way A2-ntl Tacoma WA 98405-4234 |
| Mailing Address |
8006 Goodman Dr Nw Gig Harbor WA 98332-9513 |
| Practice Telephone | 2534031019 |
| Mailing Telephone | 2538585891 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WA12190 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813120 | John Patrick Mulligan | Physician Assistant | 1 Gustave L Levy Pl Fl 12, New York, NY 10029-6574 | 2020-02-13 |
| 1952871857 | John Edward Mulligan Iv | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2018-12-04 |
| 1720308653 | John Patrick Mulligan | Counselor | 12755 Brookhurst St, Ste. 114, Garden Grove, CA 92840-4857 | 2010-06-02 |
| 1063602274 | John Paul Mulligan | Counselor | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2007-07-25 |
| 1639193642 | John R. Mulligan | Anesthesiology | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2006-07-26 |
| 1457331944 | John Paul Mulligan | Emergency Medicine | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2006-01-19 |
| 1659352847 | John Craig Mulligan | Internal Medicine | 1005 W Green St, Hastings, MI 49058-1712 | 2005-11-07 |
| 1427056241 | John Simeon Mulligan Jr. | Radiology | 2200 E Parrish Ave, Building D, Owensboro, KY 42303-1449 | 2005-07-14 |
| Street Address |
315 MARTIN LUTHER KING JR WAY A2-NTL |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993298 | Catrina M. Funk | Obstetrics & Gynecology | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-06-22 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1639782741 | Angie Kim Nguyen | Pediatrics | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-08-28 |
| 1720603558 | Louie Joseph Scalise II | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-08 |
| 1255951760 | Jamie R Sprague | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-04-24 |
| 1629606959 | Melissa Ann Sauvage | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-31 |
| 1326675752 | Rajeshwari Shrestha | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-25 |
| 1013542422 | Heather Bahrt | Dietitian, Registered | 315 Martin Luther King Jr Way, Ms- 315c2hin, Tacoma, WA 98405-4234 | 2020-03-05 |
| 1457986150 | Deannita Fielding | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-03 |
| 1336789551 | Yuliana Garcia | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
| 1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
| 1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
| 1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
| 1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
| 1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
| 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.