DR. MALCOLM ARTHUR WHITAKER JR. (NPI# 1811977267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811977267 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM ARTHUR WHITAKER JR. |
| Credential | M.D. |
| Practice Address |
Madigan Army Medical Center Tacoma WA 98431-0001 |
| Mailing Address |
317 Keach Ct Steilacoom WA 98388-3031 |
| Practice Telephone | 2539683636 |
| Practice Fax Number | 2539683140 |
| Mailing Telephone | 2536781334 |
| Mailing Fax Number | 2536781334 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
39705 | IA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
036.126349 | IL | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
2010003283 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD00047269 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577322 | Bernice Joann Wilder | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98438-1336 | 2005-09-09 |
| 1013569466 | Bradley Eugene Foster | Licensed Practical Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mcln-clq-c, Tacoma, WA 98431-1100 | 2019-07-15 |
| 1245702794 | Theresa Lynn Abrahamson | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-12-21 |
| 1437629953 | Laura Peratino | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-11-27 |
| 1568937837 | Gregory Gogue Tainatongo | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1689157935 | Barbara Hewitt | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-09-12 |
| 1508350539 | Keaton Allyn Johnson | Physician Assistant | Madigan Army Medical Center, Tacoma, WA 98431-5318 | 2018-06-22 |
| 1073006235 | Jonathan Daniel Clemons | Physician Assistant | Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2018-06-12 |
| 1457841397 | Tiffany Lefebre | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-05-16 |
| 1619473683 | Kristin Michelle Lacer | Registered Nurse | Madigan Army Medical Center, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431 | 2018-03-30 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746232 | Joon Kyung Song | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2005-11-09 |
| 1841553088 | Mark Aaron Broadbent | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2012-06-22 |
| 1356607725 | Andrew James Scarano | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2012-04-10 |
| 1871811869 | Roger Liu | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2010-05-14 |
| 1619126075 | Nicholas David Krause | Radiology | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2008-09-10 |
| 1831345842 | William Dale Hwang | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2008-08-09 |
| 1982860508 | Brian Michael Eichinger | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2008-08-04 |
| 1013173814 | Scott Randall Henneman | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2008-07-31 |
| 1205095460 | Jeremy Scott Cardinal | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2008-06-03 |
| 1083889919 | John Paul Kim | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2008-04-22 |
| Find all providers in TACOMA | ||||
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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.