Active NPI
Alan James Gatward, M.D.
- Pediatric Critical Care Medicine Physician
- Tacoma, WA
National Provider Identifier
1437356003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD60381084
- Practice address
- Mary Bridge Children'S Hospital
314 Martin Luther King Jr Way, Suite 103
Tacoma, WA 98405 - Phone
- (253) 403-1434
- NPI assigned
- Jun 28, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A112642 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD60381084 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD60381084 | WA | Primary |
Addresses
Primary practice location
Mary Bridge Children'S Hospital
314 Martin Luther King Jr Way, Suite 103
Tacoma, WA 98405
Mailing address
Mary Bridge Children'S Hospital
314 Martin Luther King Jr Way, Suite 103
Tacoma, WA 98405
Phone (253) 403-1434
Other practice location 1
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-5090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002323 | Other | GA | MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181108001796 | WA | Order and Referring Only - Pediatric Medicine | 8820276900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60381084 | CA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Hospital
- Tacoma, WA
- NPI 1306952726
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1437356003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARY BRIDGE CHILDREN'S HOSPITAL",
"address_2": "314 MARTIN LUTHER KING JR WAY, SUITE 103",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-403-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARY BRIDGE CHILDREN'S HOSPITAL",
"address_2": "314 MARTIN LUTHER KING JR WAY, SUITE 103",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-403-1434"
}
],
"practiceLocations": [
{
"address_1": "Madigan Army Medical Center 9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-968-5090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATWARD",
"first_name": "ALAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A112642",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "MD60381084",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "WA",
"license": "MD60381084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "002323",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.