Active NPI
Molly D House, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Tacoma, WA
National Provider Identifier
1730322033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 808
- Practice address
- 9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431 - Phone
- (253) 968-1930
- NPI assigned
- Apr 16, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 808 | NE | Primary |
| Forensic Pathology Physician | 207ZF0201X | 0102206271 | VA |
Addresses
Primary practice location
9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431
Mailing address
533 Tonya CT SE
Olympia, WA 98513
Phone (360) 742-7723
Other practice location 1
36000 Darnall Loop
Carl R. Darnall Army Medical Center
Fort Hood, TX 76544-5095
Phone (254) 288-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207ZP0102X | Other | MILITARY HEALTH SYSTEM |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206271 | VA | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1730322033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 TONYA CT SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98513",
"telephone_number": "360-742-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-1930"
}
],
"practiceLocations": [
{
"address_1": "36000 Darnall Loop",
"address_2": "Carl R. Darnall Army Medical Center",
"address_purpose": "LOCATION",
"city": "Fort Hood",
"state": "TX",
"postal_code": "765445095",
"country_code": "US",
"telephone_number": "254-288-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSE",
"first_name": "MOLLY",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NE",
"license": "808",
"primary": true
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "VA",
"license": "0102206271",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY HEALTH SYSTEM",
"identifier": "207ZP0102X",
"state": null
}
],
"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 Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.