DR. MICHAEL DAVID STOCKIN (NPI# 1861831620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861831620 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID STOCKIN |
| Credential | M.D. |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Avenue Tacoma WA 98431-5001 |
| Mailing Address |
Madigan Army Medical Center 9040 Jackson Avenue Tacoma WA 98431-0001 |
| Practice Telephone | 2539683885 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
28597 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314944 | Mark Isadore Hainer | Internal Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-8561 | 2005-11-28 |
| 1235736901 | Jessica Kastl | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7212 | 2020-10-06 |
| 1255805651 | Trey Baker | Nurse Anesthetist, Certified Registered | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7324 | 2019-01-18 |
| 1063911949 | Katherine Naomi Mcleod | Registered Nurse | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2018-02-07 |
| 1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
| 1942564943 | Stefan George Kazacos | Emergency Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0004 | 2012-06-25 |
| 1124392741 | Stacey Stevens Schmiedecke | Obstetrics & Gynecology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 | 2012-02-29 |
| 1295027472 | Amilyn Mee Young Han Taplin | Neurological Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2011-05-06 |
| 1427386119 | Clemintene Benjamin | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4066 | 2009-11-18 |
| 1841421575 | Christopher Bryant Brueckner | Optometrist | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 | 2009-07-29 |
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| 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 |
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| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1235371329 | Christopher Taggert Veal | Anesthesiology | 1717 S J St, Tacoma, WA 98405-4933 | 2009-04-03 |
| 1013108232 | Ali Akber Turabi | Anesthesiology | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2007-08-05 |
| 1487624508 | Daniel Mark Wenzell | Anesthesiology | Mamc, Bld 9040a, Fitzsimmons Ave, Tacoma, WA 98431-0001 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
| 1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
| 1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
| 1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
| 1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
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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.