DR. MARCUS COLYER (NPI# 1215033915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033915 |
| Entity Type | Individual |
| Full Name | DR. MARCUS COLYER |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-4630 |
| Mailing Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Practice Telephone | 2539681760 |
| Mailing Telephone | 2539681760 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 975828 | MD | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD037084 | DC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0101238759 | VA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD037084 | DC | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0101238759 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1215033915 | 05 | |
| DC | 039498400 | 05 | |
| MD | 016593000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6900 Georgia Ave Nw, Ophthalmology Clinic--1f, Washington, DC 203070003 | 2027826965 | |
| 8505 Arlington Blvd Ste 300, Fairfax, VA 220314630 | 7036989335 | 7032070038 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836357 | Summit Eye Consultants Pllc | Ophthalmology | 945 Hildebrand Ln Ne Ste 235, Bainbridge Island, WA 98110-2877 | 2018-06-22 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1669590782 | Tony H. Huynh | Ophthalmology | 6100 219th St Sw Ste 280, Mountlake Terrace, WA 98043-2222 | 2007-03-27 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| 1528303849 | Retina Institute, Pllc | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055-6238 | 2012-11-28 |
| 1992040240 | Retina Specialists Northwest, Pllc | Ophthalmology | 33915 1st Way S, Ste 120, Federal Way, WA 98003-4551 | 2012-11-27 |
| 1841568946 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 | 2011-12-05 |
| 1386669562 | David N Drucker | Ophthalmology | 1530 N 115th St, Suite 105, Seattle, WA 98133-8421 | 2006-07-12 |
| 1033141007 | Todd Evan Schneiderman | Ophthalmology | 9800 Levin Rd Nw, Suite 203, Silverdale, WA 98383-7849 | 2006-07-07 |
| 1942232913 | David J Spinak | Ophthalmology | 9800 Levin Rd Nw, Ste 203, Silverdale, WA 98383-7849 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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| 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.