LEE A ANTLES


Address: 9040 Jackson Avenue, Tacoma, WA 98431-8151
Phone: 2539682462

LEE A ANTLES (NPI# 1811995525) 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) 1811995525
Entity Type Individual
Full Name LEE A ANTLES
Credential MD
Practice Address 9040 Jackson Avenue
Tacoma
WA 98431-8151
Mailing Address 9040 Jackson Avenue
Tacoma
WA 98431-0001
Practice Telephone 2539682462
Mailing Telephone 2539682462
Enumeration Date 2005-07-07
Last Update Date 2019-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD00025946 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & INDUSTRIES 0168090 01
RAILROAD MEDICARE UPIN 110245917 01
MEDICARE PTAN GAB34522 01

Office Location

Street Address 9040 JACKSON AVENUE
City TACOMA
State WA
Zip Code 98431-8151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770117640 Ryan Bradley Liberg Student in an Organized Health Care Education/Training Program 9040 Jackson Avenue, Tacoma, WA 98431-0001 2020-02-28
1255965588 Travis Dunn Student in an Organized Health Care Education/Training Program 9040 Jackson Avenue, Tacoma, WA 98431-0001 2020-02-25
1538792023 Christopher Hodge Student in an Organized Health Care Education/Training Program 9040 Jackson Avenue, Tacoma, WA 98431-0001 2020-02-13
1689206187 Joscelyn Eva Hodge Student in an Organized Health Care Education/Training Program 9040 Jackson Avenue, Tacoma, WA 98431-0001 2020-02-12
1770115719 Michael W Patt Student in an Organized Health Care Education/Training Program 9040 Jackson Avenue, Tacoma, WA 98431-0001 2020-02-07
1780228973 Christopher Conner Physician Assistant 9040 Jackson Avenue, Tacoma, WA 98431-0001 2019-10-31
1417500638 Eugenia Ann Haley Social Worker 9040 Jackson Avenue, Tacoma, WA 98431-1072 2019-07-17
1811556269 Erika May Registered Nurse 9040 Jackson Avenue, Tacoma, WA 98431-0001 2019-06-10
1417510330 Margaret Jayne Ramsdell Case Manager/Care Coordinator 9040 Jackson Avenue, Tacoma, WA 98431-0001 2019-04-16
1114486222 Catherine Vaccaro Dietitian, Registered 9040 Jackson Avenue, Tacoma, WA 98431-0001 2019-03-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730718628 Brendan Eugene Raney Internal Medicine 202 N Borough Rd, Tacoma, WA 98403-2804 2020-04-03
1609404136 Abigail Anne Cano Deleon Internal Medicine 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 2020-03-30
1528691706 Blue Med Inc. Internal Medicine 1222 N Sunset Dr, Tacoma, WA 98406-1027 2020-02-17
1417441189 Iora Senior Health, Inc Internal Medicine 5006 Center St Ste R, Tacoma, WA 98409-2314 2018-06-18
1023525698 Comprehensive Postacute Care Pllc Internal Medicine 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3480 2018-01-04
1972034494 Brian Hagan Internal Medicine 1717 S. J. Street, Suite 336, S. Pavilion, Ms 01-30, Tacoma, WA 98405 2017-03-26
1184967242 Jerry Hu Internal Medicine 415 6th Ave Unit 505, Tacoma, WA 98402-2310 2013-03-27
1639426232 Desiree Marie Lehmann Internal Medicine 1717 S J St # Ms 01-36, Tacoma, WA 98405-4933 2012-08-14
1720344617 Don Nguyen Internal Medicine 1201 Pacific Ave Ste 1950, Tacoma, WA 98402 2012-04-05
1437445855 Alexander A Divin Internal Medicine 1717 South J Street Suite 336, South Pavillion, Ms 01-30, Tacoma, WA 98405 2011-06-23
Find all providers in TACOMA

Competitor

Search similar providers

City TACOMA
Zip Code 98431

Improve Information

Please comment or provide details below to improve the information on LEE A ANTLES.

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.

Trending Searches