Active NPI
John Mulcaire-Jones
- Pediatric Critical Care Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1043608367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD.MD.61288640
- Practice address
- 1760 E Horne Ave
Salt Lake City, UT 84106-3734 - Phone
- (406) 498-7808
- NPI assigned
- Jan 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD.MD.61288640 | WA | Primary |
Addresses
Primary practice location
1760 E Horne Ave
Salt Lake City, UT 84106-3734
Mailing address
1760 E Horne Ave
Salt Lake City, UT 84106-3734
Phone (406) 498-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.MD.61288640 | WA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Wa | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1043608367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E HORNE AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063734",
"telephone_number": "406-498-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E HORNE AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063734",
"telephone_number": "406-498-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCAIRE-JONES",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-09",
"last_updated": "2023-02-14",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "WA",
"license": "MD.MD.61288640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.