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DR. JORDAN JUSTIN TJEERD MULDER D.O. NPI 1902054760


NPI Information

NPI: 1902054760
Provider Name: DR. JORDAN JUSTIN TJEERD MULDER, D.O.
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

PECOS Registration: Yes

Address:
3920 CAPITAL MALL DR SW STE 100A
OLYMPIA, WA
ZIP 98502
Phone: (360) 704-4745
Get Directions

DR. Jordan Justin Tjeerd Mulder, D.O. is an otolaryngology/facial plastic surgery otolaryngology in Olympia, WA with 17 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Jordan Justin Tjeerd Mulder, D.O. NPI is 1902054760. 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:

3920 CAPITAL MALL DR SW STE 100A
OLYMPIA, WA
ZIP 98502-701
Phone: (360) 704-4745
Fax: (360) 704-4746

The NPI 1902054760 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic examination of ear and nose (HCPCS:92504)

The enumeration date for this NPI number is 9/5/2008 and was last updated on 12/16/2019.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryOP60262509WASHINGTONYes

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: 4/28/2024

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