KEITH E DEMIRJIAN


Address: 1812 S J St, #102, Tacoma, WA 98405-4964
Phone: 2535524900

KEITH E DEMIRJIAN (NPI# 1447223417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447223417
Entity Type Individual
Full Name KEITH E DEMIRJIAN
Credential MD
Practice Address 1812 S J St
#102
Tacoma
WA 98405-4964
Practice Telephone 2535524900
Practice Fax Number 2536271886
Mailing Telephone 2535524900
Mailing Fax Number 2536271886
Enumeration Date 2006-02-09
Last Update Date 2010-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD00018986 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1770304 05

Office Location

Street Address 1812 S J ST
#102
City TACOMA
State WA
Zip Code 98405-4964

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215900279 Michael J Bateman Family Medicine 1812 S J St, #102, Tacoma, WA 98405-4964 2006-02-09
1346765773 Mandy Chamberlain Nurse Practitioner 1812 S J St, Tacoma, WA 98405-4964 2017-08-07
1699131581 Franciscan Medical Group Emergency Medicine 1812 S J St, Suite 120, Tacoma, WA 98405-4964 2016-01-07
1528462652 Ashley Goodman Advanced Practice Midwife 1812 S J St, Ste 120, Tacoma, WA 98405-4964 2014-10-17
1437431947 Jessica M Rowan Registered Nurse 1812 S J St, Ste 120, Tacoma, WA 98405-4964 2011-09-12
1891082574 Franciscan Medical Group Obstetrics & Gynecology 1812 S J St, Ste 120, Tacoma, WA 98405-4964 2011-07-01
1982901989 Christina Noel Martinez Registered Nurse 1812 S J St, Ste 120, Tacoma, WA 98405-4964 2011-02-28
1720390990 Tiffany Wemhaner Sibley Emergency Medicine 1812 S J St, Ste 120, Tacoma, WA 98405-4964 2010-07-05
1740503994 Margaret C Harrison Physician Assistant 1812 S J St, Ste 120, Tacoma, WA 98405-4964 2010-03-02
1922262203 Heather Lee Siegel Registered Nurse 1812 S J St, Suite 120, Tacoma, WA 98405-4964 2008-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City TACOMA
Zip Code 98405

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Dataset Information

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.

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