Active NPI
Ian Mullikin, M.D.
- Orthopaedic Surgery Physician
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD61268977
- Practice address
- 11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818 - Phone
- (253) 530-2663
- Fax
- (253) 530-2675
- NPI assigned
- Apr 10, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DR.0072000 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | MD20630 | HI | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | DR.0072000 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | MD61268977 | WA | Primary |
Addresses
Primary practice location
11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818
Mailing address
11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818
Phone (253) 530-2663
Other practice location 1
1 Jarrett White Rd
Department of Orthopedics
Tripler Army Medical Center, HI 96859
Phone (084) 331-6898
Other practice location 2
175 S Union Blvd Ste 125
Colorado Springs, CO 80910-3117
Phone (719) 365-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Albany Medical College of Union University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11511 Canterwood Blvd NW
Suite 205
Gig Harbor, WA 98332-5818
Phone (253) 530-2663
Hospital & facility affiliations
- St Joseph Medical Center
- St Anthony Hospital
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20630 | HI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Franciscan Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
| Franciscan Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
175 S Union Blvd
Ste 125
Colorado Springs, CO 80910
175 S Union Blvd
Ste 310
Colorado Springs, CO 80910
Phone (719) 365-6363
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
11511 Canterwood Blvd
Ste 205
Gig Harbor, WA 98332
Phone (253) 530-2663
450 S Kitsap Blvd
Ste 210
Port Orchard, WA 98366
Phone (360) 874-5900
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Orthopaedic Surgery
-
- Emergency Medicine Physician
- Bremerton, WA
- NPI 1316756067
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1255774188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD STE 205",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325818",
"telephone_number": "253-530-2663",
"fax_number": "253-530-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD STE 205",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325818",
"telephone_number": "253-530-2663",
"fax_number": "253-530-2675"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_2": "Department of Orthopedics",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "96859",
"country_code": "US",
"telephone_number": "084-331-6898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 S Union Blvd Ste 125",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809103117",
"country_code": "US",
"telephone_number": "719-365-1950",
"fax_number": "719-365-1951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLIKIN",
"first_name": "IAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR.0072000",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "HI",
"license": "MD20630",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CO",
"license": "DR.0072000",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD61268977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.