DR. MARTHA ALICE MCCRAVEY (NPI# 1689637563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689637563 |
Entity Type | Individual |
Full Name | DR. MARTHA ALICE MCCRAVEY |
Credential | MD |
Practice Address |
314 Martin Way Tacoma WA 98405-4269 |
Mailing Address |
45 N Summit Rd Tacoma WA 98406-7603 |
Practice Telephone | 2534031511 |
Mailing Telephone | 2537527226 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
22307 | WA | Allopathic & Osteopathic Physicians |
Street Address |
314 MARTIN WAY |
City | TACOMA |
State | WA |
Zip Code | 98405-4269 |
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 | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255652731 | Ashley T Jones | Pediatrics | 317 Martin Luther King Jr Way, Mary Bridge Children's Hospital, Tacoma, WA 98405 | 2010-06-18 |
1326059056 | Iain R Asplin | Pediatrics | 314 Martin Luther King Jr Way, Suite 9, Tacoma, WA 98405-4250 | 2006-08-10 |
1831140029 | Liliana Angelica Lupu | Pediatrics | 314 Martin Luther King Jr Way, Suite 9, Tacoma, WA 98405-4250 | 2006-05-13 |
1811951015 | Eric Harry | Pediatrics | 9040 Jackson Ave, Tacoma, WA 98431-4234 | 2006-04-14 |
1730158213 | Andre Fallot | Pediatrics | Jackson Ave Bldg 9040, Madigan Army Medical Center Dept of Pediatrics, Tacoma, WA 98431-0001 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306378278 | Pliceliany Perez | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-03-30 |
1184057267 | Ashley Deline Calahan | Pediatrics | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 | 2013-08-13 |
1972846079 | Whitney Elizabeth Kopp | Pediatrics | 101 W 8th Ave, Spokane, WA 99204-2307 | 2013-03-27 |
1710276761 | Emily Berkman | Pediatrics | 4800 Sand Point Way Ne, A-5950, Seattle, WA 98105 | 2011-03-30 |
1003077025 | Leslie Ann Dervan | Pediatrics | 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105-3901 | 2008-06-23 |
1861651929 | Silvia Hartmann | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-06-04 |
1538338975 | Amelie Olga-marie Von Saint Andre - Von Arnim | Pediatrics | 4800 Sand Point Way Ne, M/s W-8866, Seattle, WA 98105-3901 | 2008-02-28 |
1992907208 | Derk August Mueller | Pediatrics | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-05-31 |
1508921024 | Ofer Yanay | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-12-26 |
1275607913 | Thomas V. Brogan | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-17 |
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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.