SPANAWAY GENERAL MEDICAL CLINIC (NPI# 1770514937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770514937 |
| Entity Type | Organization |
| Organization Name | SPANAWAY GENERAL MEDICAL CLINIC |
| Practice Address |
15005 Pacific Ave Spanaway General Medical Clinic Tacoma WA 98444 |
| Practice Telephone | 2535373724 |
| Practice Fax Number | 2535376425 |
| Mailing Telephone | 2535373724 |
| Mailing Fax Number | 2535376425 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | DR. ANDREW MAN KUEN TSOI (OWNER) |
| Authorized Official Telephone | 2535373724 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7174006 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SPANAWAY GENERAL MEDICAL CLINIC, INC. | 1411 Fourth Ave Ste 1520, Seattle, WA 98101-2249 |
| Street Address |
15005 PACIFIC AVE SPANAWAY GENERAL MEDICAL CLINIC |
| City | TACOMA |
| State | WA |
| Zip Code | 98444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174555239 | John Patrick Maiorca | General Practice | 15005 Pacific Ave, Spanaway General Medical Clinic, Tacoma, WA 98444 | 2006-07-07 |
| 1003847179 | Glenn J. Kietzer | General Practice | 15005 Pacific Ave, Spanaway General Medical, Tacoma, WA 98444 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
| Find all providers in zip 98444 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1841553740 | Nevine F N Makari | General Practice | 6909 Bridgland Ln, Tacoma, WA 98407-1020 | 2012-06-17 |
| 1952637332 | Proctor Medical Clinic | General Practice | 1208 South Proctor St, Tacoma, WA 98405 | 2009-10-20 |
| 1194050773 | K and A Diagnostic Center | General Practice | 1206 South Proctor St, Tacoma, WA 98405 | 2009-10-15 |
| 1811915374 | Dung Xuan Nguyen | General Practice | 3736 S G St, Tacoma, WA 98418-6725 | 2006-07-17 |
| 1710936208 | Jane Ann Moore | General Practice | 6002 Westgate Blvd, Suite 160, Tacoma, WA 98406-2571 | 2006-05-10 |
| 1295716884 | Thu Van Le | General Practice | 1212 S 11th St, Suite 39, Tacoma, WA 98405-4021 | 2005-11-10 |
| 1841750536 | Clayton Andrew Harris | General Practice | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-03-20 |
| 1942766845 | Merrill Maguire Brady Moe | General Practice | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2019-02-15 |
| Find all providers in TACOMA | ||||
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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.