MR. JOHN BARTON GILLUM JR. PA
NPI 1699752451
Physician Assistant in Tacoma, WA

Active since December 22, 2005
MADIGAN ARMY MEDICAL CTR, 9040 A REID ST, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Barton Gillum Jr. Pa NPPES

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

MR. JOHN BARTON GILLUM JR. PA (NPI 1699752451) is an individual physician assistant in Tacoma, Washington, licensed in Texas (PA03173) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1699752451
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN BARTON GILLUM JR.Credential: PA
Location AddressMADIGAN ARMY MEDICAL CTR, 9040 A REID STTacoma, WA 98431-0001
Mailing AddressMadigan Army Medical Ctr, 9040 A Reid StTacoma, WA 98431-0001 · (253) 968-1110
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateJune 4, 2013
NPI 1699752451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA03173 Licensed in CO · 1897
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 1897 (CO)
MADIGAN ARMY MEDICAL CTR, Tacoma, WA 98431

Other Identifiers 12

Medicaid200267860AKS
Medicaid119732100WY
Medicare PINC532768CO
Medicare UPINP68762CO
Medicaid200039360AOK
Medicare PINC532728CO
Medicaid66478529NM
Medicare PINTXB162941TX
OtherP00231064CO · Rr Medicare Ria
Medicaid305251601TX
Medicaid46883355CO
Medicare PINC532748CO

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON BLVD., GME-CLINICAL PSYCH INTERNSHIP PRGM
TACOMA, WA 98431
Student in an Organized Health Care Education/Training Program
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE
TACOMA, WA 98431
Registered Nurse
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVENUE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
Registered Nurse
MADIGAN ARMY MEDICAL CTR, 9040A JACKSON AVENUE
TACOMA, WA 98431
Registered Nurse
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
Registered Nurse
MADIGAN ARMY MEDICAL CTR, 9040 REID STRETT, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
Registered Nurse
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CTR, 9040A REID STREET
TACOMA, WA 98431

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 Gillum's NPI number?

The NPI number for John Gillum is 1699752451. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is John Gillum located?

John Gillum practices at Madigan Army Medical Ctr 9040 A Reid St, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is John Gillum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for John Gillum was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.