Individual provider Active NPI

Joseph W Mulcahy, M.D.

  • Surgery Physician
  • Anacortes, WA
National Provider Identifier
1265515043
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60066486 Issued in WA
Practice address
1213 24TH St Ste 700
Anacortes, WA 98221-2595
Phone
(360) 293-5142
Fax
(360) 299-2043
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9300547 NC
Surgery Physician 208600000X MD60066486 WA Primary

Addresses

Primary practice location

1213 24TH St Ste 700
Anacortes, WA 98221-2595

Mailing address

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-4945

Other practice location 1

120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-0001
Phone (252) 436-0430

Other identifiers 2

IdentifierTypeStateIssuer
8014CAMedicaidNC
2002703MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000737 WA Practitioner - General Surgery 9234285735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9300547NCMDSpecialist
MD60066486WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 1, 2009 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 1, 2009 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients

Locations

1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Island HospitalAnacortes, WA, CCN 500007 Hospital Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1265515043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-299-4945",
            "fax_number": "360-299-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST STE 700",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "telephone_number": "360-293-5142",
            "fax_number": "360-299-2043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Charles Rollins Rd",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275360001",
            "country_code": "US",
            "telephone_number": "252-436-0430",
            "fax_number": "252-492-5707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9300547",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60066486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8014CA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002703",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.