PATRICK LLOYD TRACY (NPI# 1073541587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073541587 |
| Entity Type | Individual |
| Full Name | PATRICK LLOYD TRACY |
| Credential | M.D. |
| Practice Address |
19245 7th Ave Ne Poulsbo WA 98370-7504 |
| Mailing Address |
2512 Wheaton Way Bremerton WA 98310-3399 |
| Practice Telephone | 3607823500 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00017724 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5924017 | 01 | |
| RAILROAD MEDICARE | 080046467 | 01 | |
| DEA | AT9019630 | 01 | |
| REGENCE BLUESHIELD | TR0082 | 01 | |
| WA | 8150674 | 05 | |
| WA | LABOR & INDUSTRIES | 49127 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164576245 | Patrick Harlan Tracy | Hospitalist | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-01-23 |
| 1750336889 | Patrick Terence Tracy | Neurological Surgery | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2006-05-24 |
| Street Address |
19245 7TH AVE NE |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-7504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831140185 | Karl David Hadley | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-7504 | 2006-05-12 |
| 1073091427 | Joseph G Smith | Registered Nurse | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2018-07-29 |
| 1225449861 | Craig Duncan Karr | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2014-05-16 |
| 1356769137 | Bradley Troy Anderson | Pediatrics | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2014-03-31 |
| 1770841421 | Oleksandr Seleverstov | Internal Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2012-05-01 |
| 1568744738 | Torri Lynn Thomas | Massage Therapist | 19245 7th Ave Ne, Poulsbo, WA 98370 | 2011-09-14 |
| 1285955526 | Jonathan S Mendelsohn | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370 | 2010-06-22 |
| 1437312709 | Matthew K Johnson | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2008-07-08 |
| 1316087018 | Sally S Fleischman | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2007-02-08 |
| 1083798532 | Jesse T. Fenger | Respiratory Therapist, Certified | 19245 7th Ave Ne, Poulsbo, WA 98370-6651 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811275563 | David Ryan Bolthouse | Family Medicine | 19379 7th Ave. N.e., Poulsbo, WA 98370 | 2011-07-29 |
| 1740505775 | Joanne L Roehr | Family Medicine | 731 Ne Sommerseth St, Poulsbo, WA 98370-8478 | 2010-04-01 |
| 1871647313 | Susan J Shlifer | Family Medicine | 19735 10th Avenue Ne, Suite S-102, Poulsbo, WA 98370 | 2007-01-22 |
| 1285786772 | Nobuhiko Kira | Family Medicine | 19917 7th Avenue, Suite 205, Poulsbo, WA 98370 | 2007-01-17 |
| 1629176524 | Peter V Ciani | Family Medicine | 20730 Bond Rd Ne, Ste 205, Poulsbo, WA 98370-9000 | 2006-09-21 |
| 1659397701 | Donald Warren Novey | Family Medicine | 20730 Bond Rd Ne Ste 205, Poulsbo, WA 98370-9000 | 2006-07-14 |
| 1902842867 | Douglas Kurata | Family Medicine | 19045 Hwy 305, Suite 180, Poulsbo, WA 98370 | 2006-06-21 |
| 1013951342 | Ellen K Stehouwer | Family Medicine | 20730 Bond Rd Ne Ste 104, Poulsbo, WA 98370-9000 | 2006-06-16 |
| 1740224880 | Marie E. Matty | Family Medicine | 19980 10th Ave Ne Ste 202, Poulsbo, WA 98370-6322 | 2006-06-16 |
| 1831140185 | Karl David Hadley | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-7504 | 2006-05-12 |
| Find all providers in POULSBO | ||||
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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.