DR. NATHAN ALLEN ULLOM (NPI# 1568777175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568777175 |
| Entity Type | Individual |
| Full Name | DR. NATHAN ALLEN ULLOM |
| Credential | DPM |
| Practice Address |
1400 E Kincaid St Mount Vernon WA 98274-4127 |
| Mailing Address |
1400 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3608484120 |
| Practice Fax Number | 3604247945 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2013-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO60398534 | WA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO60398534 | WA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006241 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1400 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508836 | James William Hartley | Nurse Practitioner | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2005-06-16 |
| 1750997433 | Katie Akane Kaestner | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2020-09-18 |
| 1376189555 | Shaneen Fernandez | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-11-21 |
| 1558906008 | Andrea Marie Phillips | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-11-07 |
| 1174097026 | Rebecca Anne Knight | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-01-14 |
| 1700359445 | Michael A Payne | Registered Nurse | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-01-05 |
| 1093298051 | Emily Jean Jette | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2018-09-14 |
| 1841647849 | Marla Oakes | Pharmacist | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-05-19 |
| 1508213794 | Catherine Schnabel | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-05-18 |
| 1649634437 | Carlyn King | Obstetrics & Gynecology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598996043 | Dorinda Amun King-adekunle | Podiatrist | 9 Harrison Street, Mount Vernon, NY 10550-3611 | 2009-07-31 |
| 1588725709 | Anthony Dimarino | Podiatrist | 319 N 7th Ave, Mount Vernon, NY 10550-1792 | 2006-12-12 |
| 1649293846 | Michael Fracassa | Podiatrist | 812 Coshocton, Mount Vernon, OH 43050 | 2006-07-26 |
| 1407827454 | Randolph Verity Anderson | Podiatrist | 120 S 15th St, Suite 2, Mount Vernon, WA 98274-4500 | 2006-01-29 |
| 1427049535 | Jonathan M Knee | Podiatrist | 514 Gramatan Ave, P4, Mount Vernon, NY 10552-3054 | 2005-10-31 |
| 1659369155 | Robert A Atwell | Podiatrist | 809 Coshocton Ave, Suite A, Mount Vernon, OH 43050-1900 | 2005-10-10 |
| 1437698842 | S Thomas Sehy Dpm LLC | Podiatrist | 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864-6545 | 2017-02-17 |
| 1104205103 | Dae Yong Lee | Podiatrist | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2015-05-22 |
| 1144649856 | Tyler Wishau | Podiatrist | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2014-04-09 |
| 1275720922 | Jay Mermelstein | Podiatrist | 105 Stevens Ave, Suite 301, Mount Vernon, NY 10550-2686 | 2007-09-26 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.