Active NPI
Ronald Joseph Mulgrew
- Military Health Care Provider
- Kodiak, AK
National Provider Identifier
1326248337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- BLDG N-46 Cape Sarichef
Kodiak, AK 99619-5002 - Phone
- (907) 487-5757
- Fax
- (907) 487-5360
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
BLDG N-46 Cape Sarichef
Kodiak, AK 99619-5002
Mailing address
BLDG N-46 Cape Sarichef
Kodiak, AK 99619-5002
Phone (907) 487-5757
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Support Command Kodiak | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1326248337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG N-46 CAPE SARICHEF",
"city": "KODIAK",
"state": "AK",
"postal_code": "996195002",
"telephone_number": "907-487-5757",
"fax_number": "907-487-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG N-46 CAPE SARICHEF",
"city": "KODIAK",
"state": "AK",
"postal_code": "996195002",
"telephone_number": "907-487-5757",
"fax_number": "907-487-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULGREW",
"first_name": "RONALD",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.