CARL L MCMULLEN (NPI# 1164718623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164718623 |
| Entity Type | Individual |
| Full Name | CARL L MCMULLEN |
| Credential | D.O. |
| Practice Address |
9040a Jackson Ave Tacoma WA 98431-4501 |
| Mailing Address |
9040a Jackson Ave Anesthesia Department Tacoma WA 98431-0001 |
| Practice Telephone | 2539681110 |
| Mailing Telephone | 6189202626 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 1012 | NE | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
60901530 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3851 Roger Brooke Dr, Graduate Medical Education, San Antonio, TX 782344501 | 2105138078 |
| Street Address |
9040A JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905249 | Richard Lyle Urbon Jr. | Internal Medicine | 9040a Jackson Ave, Tacoma, WA 98431-6283 | 2005-10-11 |
| 1962003111 | Zachary Tegen | Spec/Tech, Cardiovascular | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2020-11-04 |
| 1225681968 | Elena Brooke Haymond | Social Worker | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-22 |
| 1326529116 | Molly Glockling | Nurse Practitioner | 9040a Jackson Ave, Tacoma, WA 98431-1130 | 2018-08-28 |
| 1972009108 | Joshua Davey Read | Student in an Organized Health Care Education/Training Program | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2018-04-05 |
| 1114434701 | Timothy Edward Hausmann | Nurse Anesthetist, Certified Registered | 9040a Jackson Ave, Tacoma, WA 98431-5656 | 2018-01-04 |
| 1003350687 | Madigan Army Medical Center | Military Hospital | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2016-12-15 |
| 1649624453 | Madigan Army Medical Center | General Acute Care Hospital | 9040a Jackson Ave, Att: Mchj-c-e, Tacoma, WA 98431-0001 | 2016-04-18 |
| 1962866921 | Christina Renee Yoon | Registered Nurse | 9040a Jackson Ave, Attn: Mchj-clq-q, Christina Yoon Rn, Tacoma, WA 98431-1100 | 2016-04-06 |
| 1174996292 | Sara Whitney Young | Dietitian, Registered | 9040a Jackson Ave, Tacoma, WA 98431-0001 | 2015-11-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649636887 | Mobile Sleep Anesthesiology | Anesthesiology | 3119 Maple Ridge Ct, Bellingham, WA 98229-2391 | 2016-01-04 |
| 1922233535 | Donald Y. Lee | Anesthesiology | 4957 Lakemont Blvd. Se, C-4, Belleuve, WA 98006-7801 | 2009-05-27 |
| 1548461767 | Lorraine Lavonne Thompson | Anesthesiology | 450 Lariat Ln, Ellensburg, WA 98926-5011 | 2007-05-29 |
| 1922495621 | Holly J Snyder | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-04-20 |
| 1700128048 | Ashley Abbott Colletti | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2013-03-25 |
| 1538426143 | Elizabeth E Hansen | Anesthesiology | 4800 Sand Point Way Ne, Seattle Children's Hospital Mb.11.500, Seattle, WA 98105-3901 | 2012-04-19 |
| 1871869255 | Amber Michele Franz | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2012-03-29 |
| 1972873842 | Herbert Kloss, M.d. Pllc | Anesthesiology | 5057 84th Ave Se, Mercer Island, WA 98040-4617 | 2012-01-09 |
| 1588951255 | Fiona Maryann Patrao | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-07-01 |
| 1326331794 | Aruna Maria Kamath | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-05-18 |
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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.