MR. EDUARDO ROBERTO FAYTONG (NPI# 1174594899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174594899 |
| Entity Type | Individual |
| Full Name | MR. EDUARDO ROBERTO FAYTONG |
| Credential | PA-C |
| Practice Address |
1202 Martin Luther King Jr Way Tacoma WA 98405-3926 |
| Mailing Address |
1019 Pacific Ave Ste 300 Tacoma WA 98402-4488 |
| Practice Telephone | 2535974550 |
| Practice Fax Number | 2537221546 |
| Mailing Telephone | (253) 597-4550 |
| Mailing Fax Number | 2537221546 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60688816 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1202 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
| 1164039707 | Josephine Eshun | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-09-28 |
| 1164035010 | Andrea Jordan | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-08-28 |
| 1417586777 | Tor Anderson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1023647302 | Ariahnna Lynne Nietzke | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1982233292 | Joshua Monson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1871122317 | Marina Leith | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-06 |
| 1174152169 | Charlee Rhea Abboud | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-02 |
| 1609401272 | Mitsy Chester | Dental Hygienist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-03-04 |
| 1700425543 | Renjitha James | Pharmacist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2019-12-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| 1790177731 | Taylor Marquardt | Physician Assistant | 1624 S I St Ste 305, Tacoma, WA 98405-5093 | 2015-02-27 |
| 1134540909 | Otis Lawrence | Physician Assistant | 608 E 62nd St, Tacoma, WA 98404-1935 | 2013-12-22 |
| 1689905788 | Jason F Naylor | Physician Assistant | 9040 Jackson Avenu, Tacoma, WA 98431-7037 | 2010-01-29 |
| 1952536146 | Eric Vangsnes | Physician Assistant | 9040 Reid St., Attn: Mchj-qcr, Tacoma, WA 98431-1100 | 2009-05-18 |
| 1801048731 | Anthony Cee Charles | Physician Assistant | 1307 Martin Luther King Jr Way, Tacoma, WA 98405-3929 | 2008-10-22 |
| 1083742480 | Darin W Smith | Physician Assistant | 1623 E J St, Tacoma, WA 98421-1602 | 2007-02-28 |
| 1417045857 | Kenneth Leo Fleck | Physician Assistant | 910 Tacoma Ave S, Tacoma, WA 98402-2104 | 2006-10-11 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| 1013973205 | Sheldon Burdell Watson | Physician Assistant | Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431-1730 | 2006-04-25 |
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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.