Dr. John Michael Hautala --
M.D. | Pediatric Adolescent Medicine | Male
Dr. John Michael Hautala --, M.D. is a Fircrest, Washington based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. John Michael Hautala -- is
1033 Regents Blvd, Suite 102, Fircrest, Washington - 98466-6045. He can be contacted on phone at
253-564-1115 and fax number 253-565-4552.
Dr. John Michael Hautala -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John Michael Hautala -- is
1174664130 which was assigned by NPPES on 10 Feb, 2007 and it was last updated on 07 Mar, 2023.
Dr. John Michael Hautala -- license number is
MD00019059 for Pediatrics, Adolescent Medicine (2080A0000X) in Washington.
Dr. John Michael Hautala -- specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. John Michael Hautala -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Dr. John Michael Hautala -- |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. John Michael Hautala -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1033 Regents Blvd, Suite 102
Fircrest, WA, 98466-6045
United States |
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| Phone Number : | 253-564-1115 |
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| Fax Number : | 253-565-4552 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174664130 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Feb, 2007 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Michael Hautala -- are as mentioned. Primary taxonomy code for Dr. John Michael Hautala --, M.D. is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | MD00019059 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John Michael Hautala -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 108917 | Other (non-Medicare) | WA | L&I Number |
| 1783703 | MEDICAID | WA | |
| AB18502 | MEDICARE ID-Type Unspecified | WA | |
| E57821 | MEDICARE UPIN | WA | |
| HA7840 | Other (non-Medicare) | WA | Regence Blue Shield |
| MD00019059 | Other (non-Medicare) | WA | State License Number |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1033 Regents Blvd, Suite 102
Fircrest, WA, 98466-6045
United States |
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| Phone Number : | 253-564-1115 |
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| Fax Number : | 253-565-4552 |
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Business Location:
Patients can refer following map for directions to
Dr. John Michael Hautala -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.