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MR. JOHN BARTON GILLUM PA NPI 1699752451


NPI Information

NPI: 1699752451
Provider Name: MR. JOHN BARTON GILLUM, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: NORTHERN VIRGINIA CARENOW URGENT CARE LLC

PECOS Registration: Yes

Address:
MADIGAN ARMY MEDICAL CTR
9040 A REID ST
TACOMA, WA
ZIP 98431
Phone: (253) 968-1110
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MR. John Barton Gillum, PA is a physician assistant in Tacoma, WA with 23 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. John Barton Gillum, PA NPI is 1699752451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CTR
9040 A REID ST
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-1110

The NPI 1699752451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 6/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology1897COLORADONo
2363A00000XPhysician Assistant1897COLORADONo
3363A00000XPhysician AssistantPA03173TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200267860AMEDICAIDKANSAS
2119732100MEDICAIDWYOMING
3C532768MEDICARE PINCOLORADO
4P68762MEDICARE UPINCOLORADO
5200039360AMEDICAIDOKLAHOMA
6C532728MEDICARE PINCOLORADO
766478529MEDICAIDNEW MEXICO
8TXB162941MEDICARE PINTEXAS
9P00231064OTHERCOLORADORR MEDICARE RIA
10305251601MEDICAIDTEXAS
1146883355MEDICAIDCOLORADO
12C532748MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.