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DR. JOHN MICHAEL HAUTALA M.D.
NPI 1174664130
Pediatrics - Adolescent Medicine in Fircrest, WA

Active since February 10, 2007
1033 REGENTS BLVD, SUITE 102, FIRCREST, WA 98466(253) 564-1115(253) 565-4552 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Michael Hautala M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN MICHAEL HAUTALA M.D. (NPI 1174664130) is an individual adolescent medicine provider in Fircrest, Washington, licensed in Washington (MD00019059) and active in the NPI registry since February 2007.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1174664130
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. JOHN MICHAEL HAUTALACredential: M.D.
Location Address1033 REGENTS BLVD, SUITE 102Fircrest, WA 98466-6045
Mailing Address1033 Regents Blvd, Suite 102Fircrest, WA 98466-6045 · (253) 564-1115 · Fax (253) 565-4552
Phone(253) 564-1115
Fax(253) 565-4552
Sole ProprietorNo
Enumeration DateFebruary 10, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1174664130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in WA · MD00019059
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1033 REGENTS BLVD, Fircrest, WA 98466
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Other Identifiers 4

Medicaid1783703WA
OtherMD00019059WA · State License Number
Other108917WA · L&i Number
OtherHA7840WA · Regence Blue Shield

Reviews for DR. JOHN MICHAEL HAUTALA M.D.

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

AUSTIN D MCMILLIN DC PS
Chiropractor (Rehabilitation)
1033 REGENTS BLVD, STE. 204
FIRCREST, WA 98466
Pierce County (253) 564-1288
MR. KYLE S BRISTOW LMP
Massage Therapist
1033 REGENTS BLVD, SUITE 204
FIRCREST, WA 98466
Pierce County (253) 564-1288
DR. JAMES PATRICK GAGLIARDI D.D.S.
Dentist (General Practice)
1033 REGENTS BLVD, SUITE 201
FIRCREST, WA 98466
Pierce County (253) 564-2570
JAMES P. GAGLIARDI, DDS, PS
Clinic/Center (Dental)
1033 REGENTS BLVD, SUITE 201
FIRCREST, WA 98466
Pierce County (253) 564-2570
PAUL E DEBUSSCHERE M.D.
Pediatrics
1033 REGENTS BLVD, SUITE 102
FIRCREST, WA 98466
Pierce County (253) 564-1115
DR. BELINDA SHUNK RONE M.D.
Pediatrics
1033 REGENTS BLVD, SUITE 102
FIRCREST, WA 98466
Pierce County (253) 564-1115
DR. BRUCE GERARD DAVIES M.D.
Pediatrics
1033 REGENTS BLVD, SUITE 102
FIRCREST, WA 98466
Pierce County (253) 564-1115
KARIAH C PHILLIPS MSW, LICSW
Social Worker (Clinical)
1033 REGENTS BLVD, STE 101
FIRCREST, WA 98466
Pierce County (253) 238-6554

Frequently Asked Questions

What is John Hautala's NPI number?

The NPI number assigned to this healthcare provider is 1174664130, enumerated as an "individual" on February 10, 2007.

Where is the provider located?

The provider is located at 1033 REGENTS BLVD SUITE 102 FIRCREST, WA 98466 and the phone number is (253) 564-1115.

What is the provider's specialty?

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

What insurance does John Hautala accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.