DR. JORDAN JUSTIN TJEERD MULDER (NPI# 1902054760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902054760 |
Entity Type | Individual |
Full Name | DR. JORDAN JUSTIN TJEERD MULDER |
Credential | D.O. |
Practice Address |
3920 Capital Mall Dr Sw Ste 100a Olympia WA 98502-8701 |
Mailing Address |
404b Black Hills Lane Sw Capital Ent Olympia WA 98502-8654 |
Practice Telephone | 3607044745 |
Practice Fax Number | 3607044746 |
Mailing Telephone | 3607044745 |
Mailing Fax Number | 3607044746 |
Enumeration Date | 2008-09-05 |
Last Update Date | 2019-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
OP60262509 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285918508 | Jordan Lee Mulder | Psychologist | 193 Blue Ravine Rd, #170, Folsom, CA 95630-4756 | 2011-10-05 |
Street Address |
3920 CAPITAL MALL DR SW STE 100A |
City | OLYMPIA |
State | WA |
Zip Code | 98502-8701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013111673 | Alan Lee Cowan | Otolaryngology | 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502-8701 | 2007-06-14 |
1093259061 | Analeis Masters | Dietitian, Registered | 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502-8701 | 2016-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
Find all providers in zip 98502 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104237064 | Francois Cloutier | Otolaryngology | 550 17th Ave, Suite 540, Swedish Cherry Hill - Center for Hearing and Skull Base, Seattle, WA 98122 | 2014-05-14 |
1114108784 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 16259 Sylvester Rd Sw Ste 505, Burien, WA 98166-3059 | 2007-11-23 |
1992913917 | Alexander W Sobel | Otolaryngology | 1632 116th Ave Ne Ste A, Bellevue, WA 98004-3035 | 2007-05-21 |
1700963782 | E.n.t.-facial Plastic Surgery Associates, Pllc. | Otolaryngology | 3999 Englewood Ave Ste 201, Yakima, WA 98902-6335 | 2006-11-01 |
1861506289 | Spokane Valley Ear, Nose &throat,p.s. | Otolaryngology | 1424 N. Mcdonald Rd, Suite 101, Spokane Valley, WA 99216-1088 | 2006-08-19 |
1770564783 | Sugical Associates Northwest | Otolaryngology | 125 3rd St Ne, Auburn, WA 98002-4035 | 2005-11-08 |
1851753206 | Facialbeauty.com Pllc | Otolaryngology | 12301 Ne 10th Pl Ste 101, Bellevue, WA 98005-2487 | 2016-03-24 |
1104185073 | Northwest Ent Associates | Otolaryngology | 1536 N 115th St, Suite 340, Seattle, WA 98133-8400 | 2012-05-11 |
1386928216 | Craig A Rone Md Ps | Otolaryngology | 316 Martin Luther King Jr Way, # 305, Tacoma, WA 98405-4252 | 2011-10-11 |
1679717748 | Javad Abbas Sajan | Otolaryngology | 1455 Nw Leary Way, Suite 449, Seattle, WA 98107-5124 | 2009-04-20 |
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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.