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Deactivated NPI 1689636409 Deactivated / Inactive NPI Male Practitioner

Dr. John C. Mulligan , MD

Specialist • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Mulligan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 05, 2006
NPI Deactivation Date August 14, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Mulligan, MD was a registered Specialist practicing in Tacoma, WA. Throughout an active medical career spanning 19 years, Dr. Mulligan provided care at the practice location at 315 MARTIN LUTHER KING JR WAY until profile deactivation on 2025-08-14.

Practice Location & Contact Primary Location

Practice Address

315 Martin Luther King Jr Way
A2-Ntl

Tacoma, WA 984054234

Telephone 2534031019
Associated Practice Facility / Clinic
🏢 Multicare Health System Facility NPI 1235180589

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
128 Specialists

Practicing in Tacoma, WA (2751 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA WA12190

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Glenn Jordan , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1043321276

Doctor of Medicine (M.D.)

Carol Otto , NNP, ARNP

Nurse Practitioner - Neonatal

NPI 1174587026

NNP, Advanced Registered Nurse Practitioner

NPI 1336105816

Doctor of Medicine (M.D.)

Vicki Zier , NNP, ARNP

Nurse Practitioner - Critical Care Medicine

NPI 1396709986

NNP, Advanced Registered Nurse Practitioner

Kimberly Gustafson , MN, NNP, ARNP

Nurse Practitioner - Neonatal

NPI 1437102696

MN, NNP, Advanced Registered Nurse Practitioner

Dr. Bruce Willham , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1447200704

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 14, 2025

Record deactivated on August 14, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 315 MARTIN LUTHER KING JR WAY, A2-NTL, TACOMA, WA 984054234 (Tel: 2534031019)

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Updated Business Mailing Address July 08, 2007

Registered at 8006 GOODMAN DR NW, GIG HARBOR, WA 983329513 (Tel: 2538585891)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MULLIGAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #WA12190 in WA)

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Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689636409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: July 08, 2007
Deactivation Date: August 14, 2025

Mailing Address

8006 Goodman Dr Nw

Gig Harbor, WA 983329513

Phone: 2538585891

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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