MUJALIN THUNTARUG (NPI# 1750770905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750770905 |
| Entity Type | Individual |
| Full Name | MUJALIN THUNTARUG |
| Credential | PA-C |
| Practice Address |
14212 Ambaum Blvd Sw Suite 106 Burien WA 98166-1449 |
| Practice Telephone | 2062445520 |
| Practice Fax Number | 2069570034 |
| Mailing Telephone | 2062445520 |
| Mailing Fax Number | 2069570034 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.60512148 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14212 AMBAUM BLVD SW SUITE 106 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526949 | Wayne C. Dees | Counselor | 14212 Ambaum Blvd Sw, Suite 103, Burien, WA 98166 | 2005-08-26 |
| 1063966703 | Davis Dental Health | Dentist | 14212 Ambaum Blvd Sw, Suite 100, Burien, WA 98166-1449 | 2016-08-11 |
| 1568749257 | Wayne C Dees Psy.d P.s. | Community/Behavioral Health | 14212 Ambaum Blvd Sw, Suite 103, Burien, WA 98166-1449 | 2011-11-08 |
| 1649554189 | Allied Family Dental | Dentist | 14212 Ambaum Blvd Sw, Suite 302, Burien, WA 98166-1449 | 2011-10-03 |
| 1740571389 | Ona L Schulz | Physician Assistant | 14212 Ambaum Blvd Sw, Suite 304, Burien, WA 98166-1449 | 2011-05-01 |
| 1548358187 | Vicki L Fox | Nurse Practitioner | 14212 Ambaum Blvd Sw, 106, Burien, WA 98166-1449 | 2006-10-10 |
| 1083648877 | Cynthia L. Taylor, Md | Clinic/Center | 14212 Ambaum Blvd Sw, Suite 106, Burien, WA 98166-1449 | 2006-07-10 |
| 1841224102 | Cynthia Taylor | Family Medicine | 14212 Ambaum Blvd Sw, Suite 106, Burien, WA 98166-1449 | 2006-07-10 |
| 1558391078 | Roger K Larson | Specialist | 14212 Ambaum Blvd Sw, Suite 201, Burien, WA 98166-1449 | 2006-07-03 |
| 1023068301 | Jeffrey Lee | Dentist | 14212 Ambaum Blvd Sw, Ste #203, Burien, WA 98166-1449 | 2006-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134364813 | Jonathan David Cyphers | Physician Assistant | 13610 1st Ave S, Burien, WA 98168-3404 | 2008-12-09 |
| 1851396261 | Andrea Anne English | Physician Assistant | 16110 8th Ave Sw, Ste B1, Burien, WA 98166-2963 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
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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.