DR. TYLER RICHARD CHISHOLM (NPI# 1154659795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154659795 |
| Entity Type | Individual |
| Full Name | DR. TYLER RICHARD CHISHOLM |
| Credential | M.D. |
| Practice Address |
301 S 320th St Federal Way WA 98003-5200 |
| Mailing Address |
602 E Nob Hill Blvd Yakima WA 98901-3534 |
| Practice Telephone | 2538747000 |
| Practice Fax Number | 2538747557 |
| Mailing Telephone | 5092483334 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60302505 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 602 E Nob Hill Blvd, Yakima, WA 989013534 | 5092483334 |
| Street Address |
301 S 320TH ST |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764472 | Tina M. Hawley | Family Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2005-10-14 |
| 1578020707 | Edith S Chan | Social Worker | 301 S 320th St, Federal Way, WA 98003-5200 | 2019-02-24 |
| 1902335292 | Diana Suwah Trinh | Physician Assistant | 301 S 320th St, Federal Way, WA 98003-5200 | 2017-06-08 |
| 1891101531 | Lateef Johnson Harper | Family Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2014-07-02 |
| 1720408172 | Kelly Johnson | Physician Assistant | 301 S 320th St, Federal Way, WA 98003-5200 | 2014-04-24 |
| 1588091730 | Amy Marie Coppeans | Nurse Practitioner | 301 S 320th St, Federal Way, WA 98003-5200 | 2013-10-02 |
| 1740523794 | Derek Lin | Internal Medicine | 301 S 320th St, Federal Way, WA 98003-5200 | 2013-03-28 |
| 1588911978 | Kathryn Dunphy Lent | Physical Therapist | 301 S 320th St, Federal Way, WA 98003-5200 | 2012-08-06 |
| 1780968883 | Elizabeth Kathleen Shuckhart | Physician Assistant | 301 S 320th St, Federal Way, WA 98003-5200 | 2011-10-06 |
| 1215228283 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 301 S 320th St, Federal Way, WA 98003-5200 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| 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 |
|---|---|---|---|---|
| 1093117673 | Alnoor Virji | Family Medicine | 602 S 288th Ln, Federal Way, WA 98003-3187 | 2014-09-25 |
| 1235359688 | Federal Way Family Physicians | Family Medicine | 34616 11th Place South, Suite #4, Federal Way, WA 98003-8705 | 2007-04-26 |
| 1790860484 | Oleg E Gordienko | Family Medicine | 34509 9th Ave So, Suite #308, Federal Way, WA 98003-8710 | 2006-10-25 |
| 1861572125 | Ramon C Sanchez | Family Medicine | 1832 S 324th Pl, Federal Way, WA 98003-8505 | 2006-10-17 |
| 1821007410 | Laurence Scott Fox | Family Medicine | 1411 South 348th Street, Building L Suite 104, Federal Way, WA 98003-8373 | 2006-08-05 |
| 1386660579 | Philip Narciso Buenvenida | Family Medicine | 34617 11th Pl S Ste 104, Federal Way, WA 98003-8706 | 2006-07-14 |
| 1902821234 | Debra M Kraft | Family Medicine | 720 S 320th St Ste E, Federal Way, WA 98003-5254 | 2006-07-13 |
| 1164474227 | Alnasir Haiderali Adatia | Family Medicine | 30809 1st Ave South, Suite A, Federal Way, WA 98003 | 2006-05-17 |
| 1598731804 | Nan-shing Hsu | Family Medicine | 32018 23rd Ave S, Federal Way, WA 98003-6022 | 2006-02-27 |
| 1710952379 | Vuthy Leng | Family Medicine | 34618 11th Pl S. Suite #100, Federal Way, WA 98003 | 2006-02-17 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.