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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: August 09, 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.

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Hautala's NPI number?

The NPI number for John Hautala is 1174664130. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Where is John Hautala located?

John Hautala practices at 1033 Regents Blvd Suite 102, Fircrest, WA 98466. The listed phone number is (253) 564-1115.

What is John Hautala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for John Hautala was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.