Nicholas F. Carulli MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00037171 Issued in WA

Legal business name

NICHOLAS F. CARULLI MD, PC

Practice address

304 N Lieser Rd
Vancouver, WA 98664-2115

Phone

(360) 694-7565

Fax

(360) 906-0871

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas F Carulli, MDNPI 1871682237

Title

President

Phone

(360) 694-7565

Specialties & licenses 1

Addresses

Other names 1

• Carulli Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas F Carulli, MD

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1871682237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1801985254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8945",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986688945",
            "telephone_number": "360-694-7565",
            "fax_number": "360-906-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N LIESER RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642115",
            "telephone_number": "360-694-7565",
            "fax_number": "360-906-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS F. CARULLI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "CARULLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-694-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carulli Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trung Quoc Nguyen, LMP, LMT
• Victor Duc-Thang Nguyen, MD
• Viet Quoc Nguyen, M.D.
• Vinh Xuan Nguyen, PHARMD
• Jaime A Nicacio, MD
• Nicholas Raklios, DDS, PLLC
• Shannon La Rae Nicholles
• Stephen Nicholls, M.D.
• Cassandra Marie Nichols
• Kristeen Marie Nichols, RDH

• Internal Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.