NICHOLAS F. CARULLI MD, PC (NPI# 1801985254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801985254 |
| Entity Type | Organization |
| Organization Name | NICHOLAS F. CARULLI MD, PC |
| Other Organization Name | CARULLI MEDICAL CLINIC |
| Practice Address |
304 N Lieser Rd Vancouver WA 98664-2115 |
| Mailing Address |
Po Box 8945 Vancouver WA 98668-8945 |
| Practice Telephone | 3606947565 |
| Practice Fax Number | 3609060871 |
| Mailing Telephone | 3606947565 |
| Mailing Fax Number | 3609060871 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | DR. NICHOLAS F CARULLI (PRESIDENT) |
| Authorized Official Telephone | 3606947565 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00037171 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carulli Medical Clinic | Doing Business As Name - Organization |
| Street Address |
304 N LIESER RD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115381 | Fuhua Holly Guo | Internal Medicine | 304 N Lieser Rd, Vancouver, WA 98664-2115 | 2005-06-22 |
| 1457670150 | Stacy Lee Beck | Registered Nurse | 304 N Lieser Rd, Vancouver, WA 98664-2115 | 2010-05-20 |
| 1518056787 | Pidge Nechak | Physician Assistant | 304 N Lieser Rd, Vancouver, WA 98664-2115 | 2006-10-12 |
| 1871682237 | Nicholas F Carulli | Internal Medicine | 304 N Lieser Rd, Vancouver, WA 98664-2115 | 2006-10-12 |
| 1912953977 | Evergreen Medical Center Ps | Clinic/Center | 304 N Lieser Rd, Vancouver, WA 98664-2115 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1609215987 | Sonam Ravindra Kiwalkar | Internal Medicine | 700 Ne 87th Ave Ste 330, Vancouver, WA 98664-4896 | 2013-06-19 |
| 1205279585 | Marla Mcknight | Internal Medicine | St. Paul's Hospital, 1081 Burrard Street, Vancouver, BRITISH COLUMBIA V6Z1Y6 | 2013-04-16 |
| 1245577675 | John Adam Staples | Internal Medicine | 1081 Burrard St, Room 5910b, Vancouver, BC V6Z1Y6 | 2013-01-04 |
| 1598051252 | Joshua Grant | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-06-21 |
| 1235422023 | Gurleen Dhami | Internal Medicine | 8821 Ne 5th St, Vancouver, WA 98664 | 2011-05-26 |
| 1487810073 | Charul Sen | Internal Medicine | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2008-08-02 |
| 1730351529 | Troy Harris Dillard | Internal Medicine | 2312 Ne 129th St Ste 120, Vancouver, WA 98686-3236 | 2008-04-01 |
| 1538381884 | Vancouver Primary Care Ps | Internal Medicine | 11719 Ne 95th St, Suite F, Vancouver, WA 98682-2444 | 2007-05-03 |
| 1821115064 | Elaheh N. Tehranchi | Internal Medicine | 2525 Ne 139th St Ste 230, Vancouver, WA 98686 | 2007-03-23 |
| Find all providers in VANCOUVER | ||||
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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.