PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC (NPI# 1083636575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083636575 |
| Entity Type | Organization |
| Organization Name | PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC |
| Practice Address |
7440 Pacific Ave Tacoma WA 98408-7117 |
| Mailing Address |
7440 Pacific Ave Pacific General Medical Clinic Tacoma WA 98408-7117 |
| Practice Telephone | 2534750511 |
| Practice Fax Number | 2534757440 |
| Mailing Telephone | 2534750511 |
| Mailing Fax Number | 2534757440 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-02-13 |
| Authorized Official Name | DR. ANDREW MANKUEN TSOI (OWNER) |
| Authorized Official Telephone | 2534750511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7063605 | 05 |
| Street Address |
7440 PACIFIC AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98408-7117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483628 | Lee Mason Bourdeau | Family Medicine | 7440 Pacific Ave, Tacoma, WA 98408-7117 | 2006-07-06 |
| 1669759718 | David Z Levine | General Practice | 7440 Pacific Ave, Tacoma, WA 98408-7117 | 2011-11-03 |
| 1518084870 | Eugene R Sine | Family Medicine | 7440 Pacific Ave, Tacoma, WA 98408-7117 | 2007-03-23 |
| 1235147653 | Marilyn Achille Gibbs | Emergency Medicine | 7440 Pacific Ave, Tacoma, WA 98408-7117 | 2006-08-03 |
| 1578596847 | James Louis Roscetti | Family Medicine | 7440 Pacific Ave, Tacoma, WA 98408-7117 | 2006-07-09 |
| 1447281613 | Louis Cornelius Enkema Jr. | General Practice | 7440 Pacific Ave, Spanaway General Medical Clinic, Tacoma, WA 98408-7117 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
| Find all providers in zip 98408 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023534286 | Willa Alise Marinov | Family Medicine | 9040 Jackson Avenue Department of Family Medicine, Tacoma, WA 98431-0001 | 2017-08-19 |
| 1487186789 | Winnie Kirkpatrick Tsai | Family Medicine | 320 N Tacoma Ave Apt 502, Tacoma, WA 98403-2764 | 2017-03-28 |
| 1861842775 | Jessica Coulter | Family Medicine | Madigan Army Hospital 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2016-06-21 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1497139943 | Whitney Elizabeth Hine | Family Medicine | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2015-07-15 |
| 1871998138 | Stephen B Hillis M.d., P.s.,inc. | Family Medicine | 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 | 2014-10-29 |
| 1487919965 | Angela Marie Dunn | Family Medicine | 9040 Jackson Ave Fmc, Tacoma, WA 98431-5600 | 2012-07-10 |
| 1760745988 | Mai Vi Ha Hoang | Family Medicine | 1717 Yakima Ave # Ms 01-36, Tacoma, WA 98405-4474 | 2012-06-21 |
| 1477831295 | Walton Preston Woodall Jr. | Family Medicine | 1102 N. Tacoma Ave, Tacoma, WA 98403-2931 | 2011-07-27 |
| 1063718492 | James M. Foss M. D. | Family Medicine | 13410 Pacific Ave S, Tacoma, WA 98444-4866 | 2011-02-02 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on PACIFIC GENERAL MEDICAL & EMERGECY CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.