ROBERT E ETTLINGER MD PS (NPI# 1619258415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619258415 |
Entity Type | Organization |
Organization Name | ROBERT E ETTLINGER MD PS |
Practice Address |
1901 S Cedar St Suite 108 Tacoma WA 98405-2395 |
Practice Telephone | 2532722261 |
Practice Fax Number | 2532745018 |
Mailing Telephone | 2532722261 |
Mailing Fax Number | 2532745018 |
Enumeration Date | 2011-09-07 |
Last Update Date | 2011-09-07 |
Authorized Official Name | DR. ROBERT E ETTLINGER (DIRECTOR) |
Authorized Official Telephone | 2532722261 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
16479 | WA | Allopathic & Osteopathic Physicians |
Street Address |
1901 S CEDAR ST SUITE 108 |
City | TACOMA |
State | WA |
Zip Code | 98405-2395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790789626 | Jerome Lee | Dentist | 1901 S Cedar St, Ste 106, Tacoma, WA 98405-2302 | 2005-06-09 |
1427574953 | Vanessa Thompson | Physical Therapist | 1901 S Cedar St, Tacoma, WA 98405-2308 | 2017-08-16 |
1316376569 | Dayna Rae Briggs | Physical Therapist | 1901 S Cedar St, Suite B-1, Tacoma, WA 98405-2308 | 2013-11-08 |
1588096127 | Ming Chi Hsiao | Nurse Practitioner | 1901 S Cedar St, Suite 301, Tacoma, WA 98405-2308 | 2013-08-06 |
1750726659 | Karen Marie Kwasny | Physical Therapist | 1901 S Cedar St, B-1, Tacoma, WA 98405-2308 | 2013-05-06 |
1982968053 | Integrated Rehabilitation Group, PC | Clinic/Center | 1901 S Cedar St, B-1, Tacoma, WA 98405-2308 | 2012-07-03 |
1104184811 | Integrated Rehab Group Limited Partnership | Physical Therapist | 1901 S Cedar St, #b-1, Tacoma, WA 98405-2308 | 2012-05-01 |
1417225970 | Star Pt, Limited Partnership | Physical Therapist | 1901 S Cedar St, Suite B1, Tacoma, WA 98405-2308 | 2011-12-12 |
1134459670 | Zaleh Parham | Nurse Practitioner | 1901 S Cedar St, Ste 108, Tacoma, WA 98405-2302 | 2010-01-06 |
1306074968 | Eun Kyung Koh | Internal Medicine | 1901 S Cedar St, Suite 205, Tacoma, WA 98405-2308 | 2009-06-22 |
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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 Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740383744 | Robert Emil Ettlinger | Internal Medicine | 1901 South Cedar Street, 201 Cedar Medical Center, Tacoma, WA 98405 | 2006-09-06 |
1720098973 | George H Krick | Internal Medicine | 1901 So Cedar, Suite 202, Tacoma, WA 98405 | 2006-08-09 |
1164839700 | Ofelya Gevorgyan | Internal Medicine | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2014-07-15 |
1255639456 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 208, Tacoma, WA 98405-4499 | 2011-03-11 |
1114154036 | Brian Joseph Stout | Internal Medicine | 9040 Jackson Ave, Tacoma, WA 98431-5285 | 2009-06-18 |
1508028952 | Anna A Muchnik | Internal Medicine | 1901 S Union Ave, A221, Tacoma, WA 98405-1702 | 2008-06-26 |
1437216389 | Eric A. Schoen | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
1285790691 | Ashul Pandhi | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-12-29 |
1801998497 | Charles Speakman Paxson | Internal Medicine | 9600 Veterans Dr Sw, Tacoma, WA 98493-5000 | 2006-09-02 |
1164470415 | Natalya Z Warner | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-05-05 |
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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.