Dr Jordan Justin Tjeerd Mulder, DO | |
3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502-8701 | |
(360) 704-4745 | |
(360) 704-4746 |
Full Name | Dr Jordan Justin Tjeerd Mulder |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 18 Years |
Location | 3920 Capital Mall Dr Sw Ste 100a, Olympia, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902054760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | OP60262509 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Capital Medical Center | Olympia, WA | Hospital |
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
Mason General Hospital & Family Of Clinics | Shelton, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Medical Center Specialty Physicians Llc | 2567651771 | 68 |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Capital Medical Center Specialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan Justin Tjeerd Mulder, DO 404b Black Hills Lane Sw, Capital Ent, Olympia, WA 98502-8654 Ph: (360) 704-4745 | Dr Jordan Justin Tjeerd Mulder, DO 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502-8701 Ph: (360) 704-4745 |
Alan Lee Cowan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 100a, Olympia, WA 98502 Phone: 360-704-4745 Fax: 360-704-4746 | |
Dr. Robert S. Marlan, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 111 Market St Ne, Suite 355, Olympia, WA 98501 Phone: 360-357-8700 | |
Charles R Souliere Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Matthew Enkyum Jung, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 128 Lilly Rd Ne Ste 202, Olympia, WA 98506 Phone: 360-357-6314 | |
Dr. Nathan Benjamin Sautter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 128 Lilly Rd Ne Ste 202, Olympia, WA 98506 Phone: 360-357-6314 Fax: 360-705-3745 | |
Dr. Sung-won Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 128 Lilly Rd Ne, 202, Olympia, WA 98506 Phone: 360-357-6314 | |
James S. Hannum, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 |