MICHAEL TEPPER MD PS (NPI# 1437223765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437223765 |
| Entity Type | Organization |
| Organization Name | MICHAEL TEPPER MD PS |
| Other Organization Name | ADVANCED HEALTHCARE NORTHWEST |
| Practice Address |
1427 Jefferson Ave Suite102 Enumclaw WA 98022-3649 |
| Mailing Address |
Po Box 3509 Renton WA 98056-0016 |
| Practice Telephone | 3608020803 |
| Practice Fax Number | 3608020806 |
| Mailing Telephone | 3608020803 |
| Mailing Fax Number | 3608020806 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | DR. MICHAEL TEPPER (PRESIDENT) |
| Authorized Official Telephone | 3608020803 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
602-353-095 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Healthcare Northwest | Doing Business As Name - Organization |
| Street Address |
1427 JEFFERSON AVE SUITE102 |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 98022-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679582654 | Nancy Ann Becker | Otolaryngology | 1427 Jefferson Ave, Suite 101, Enumclaw, WA 98022-3649 | 2006-08-07 |
| 1598155129 | Tanya Wilke Family Medicine | Clinic/Center | 1427 Jefferson Ave, Suite 202, Enumclaw, WA 98022-3649 | 2015-02-04 |
| 1336548064 | Anthony Carroll Jordan | Physician Assistant | 1427 Jefferson Ave, Suite 101, Enumclaw, WA 98022-3649 | 2014-08-19 |
| 1568779718 | Laboratory Corporation of America | Clinical Medical Laboratory | 1427 Jefferson Ave, Ste 102, Enumclaw, WA 98022-3649 | 2010-09-09 |
| 1346493806 | Ear Nose Throat Facial Plastic Surgery and Allergy of Western Wa | Otolaryngology | 1427 Jefferson Ave, Enumclaw, WA 98022-3613 | 2008-10-28 |
| 1023281623 | Enumclaw Internal Medicine and Diagnostics, Ps | Internal Medicine | 1427 Jefferson Ave, Suite # 102, Enumclaw, WA 98022-3649 | 2008-04-04 |
| 1346434552 | Rhonda E Martinez-mcfarland | Registered Nurse | 1427 Jefferson Ave, 102, Enumclaw, WA 98022-3649 | 2007-08-30 |
| 1235339359 | Tanya Marie Wilke | Family Medicine | 1427 Jefferson Ave, Suite 202, Enumclaw, WA 98022-3649 | 2007-07-18 |
| 1013128818 | Plateau Rehab Services | Physical Therapist | 1427 Jefferson Ave, Suite B1, Enumclaw, WA 98022-3649 | 2007-05-24 |
| 1275688400 | Pacific Vascular Incorporated | Physiological Laboratory | 1427 Jefferson Ave, Suite 201, Enumclaw, WA 98022-3649 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598155129 | Tanya Wilke Family Medicine | Clinic/Center | 1427 Jefferson Ave, Suite 202, Enumclaw, WA 98022-3649 | 2015-02-04 |
| 1235443334 | Foothills Internal Medicine Pllc | Clinic/Center | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2010-07-30 |
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| 1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
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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.