MULTICARE HEALTH SYSTEM (NPI# 1407808413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407808413 |
| Entity Type | Organization |
| Organization Name | MULTICARE HEALTH SYSTEM |
| Other Organization Name | PACIFIC SPORTS MEDICINE @ MULTICARE |
| Practice Address |
3315 S 23rd St Ste 200 Tacoma WA 98405-1605 |
| Mailing Address |
Po Box 5299 Ms: 737-2-phys Tacoma WA 98415-0299 |
| Practice Telephone | 2534597000 |
| Mailing Telephone | 2534597970 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT H SCHMITZ (CFO) |
| Authorized Official Telephone | 2534598000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| X | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Pacific Sports Medicine @ MultiCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
| 1407409741 | Multicare Health System | Pediatrics | 505 S 336th St # 210, Federal Way, WA 98003-5947 | 2019-07-16 |
| 1891267449 | Multicare Health System | Clinic/Center | 1414 N Houk Rd Ste 104, Spokane Valley, WA 99216-1097 | 2018-12-20 |
| 1386112977 | Multicare Health System | Social Worker | 9420 N Newport Hwy Ste 103, Spokane, WA 99218-1391 | 2018-11-13 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1801394218 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 1414 N Houk Rd Ste 208, Spokane Valley, WA 99216-1097 | 2018-01-31 |
| 1831697457 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 3016 E 57th Ave Ste 24, Spokane, WA 99223-7036 | 2018-01-29 |
| 1700396652 | Multicare Health System | Psychologist | 1706 S Meridian Ste 120, Puyallup, WA 98371-7516 | 2017-10-05 |
| 1215117007 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 17700 Se 272nd St Ste 160, Covington, WA 98042-4951 | 2007-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MULTICARE HEALTH SYSTEM | 315 S Mlk Jr Way, Tacoma, WA 98405 |
| Washington State Corporations | MULTICARE HEALTH SYSTEM | 315 S Mlk Jr Way, Tacoma, WA 98405 |
| Street Address |
3315 S 23RD ST STE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044049 | Lisa M Ralston | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2005-09-20 |
| 1760927875 | Carlee Hayes | Dietitian, Registered | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2016-12-28 |
| 1477916849 | Steven Eeftink X | Physical Therapist | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2016-04-01 |
| 1437565462 | Ann Marie Casey | Physical Therapist | 3315 S 23rd St, 3315 S 23rd St, Tacoma, WA 98405-1605 | 2014-07-10 |
| 1043643422 | Melissa Jennings Fabry | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-08-20 |
| 1083046270 | United Behavioral Health | Case Management | 3315 S 23rd St, Tacoma, WA 98405-1605 | 2013-07-30 |
| 1811337066 | Brittney Monae Hjelseth | Dietitian, Registered | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-07-02 |
| 1093053183 | Shin-chiao Fang | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-01-23 |
| 1609128453 | Myra J Kurtz | Contractor | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2012-10-03 |
| 1073809224 | Kashif Saeed | Physical Medicine & Rehabilitation | 3315 S 23rd St, Suite 200, Tacoma, WA 98405-1616 | 2011-06-27 |
| 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 | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120640 | Kyrah Holland | Preventive Medicine | 800 Yauger Way Sw Unit G108, Olympia, WA 98502-8924 | 2018-07-19 |
| 1306136643 | Bethany J. Desimone | Preventive Medicine | 1750 112th Ave Ne Ste D154, Bellevue, WA 98004-3727 | 2011-04-07 |
| 1861758088 | Amy Hanako Almeida | Preventive Medicine | 17650 140th Ave Se, B7, Renton, WA 98058-6814 | 2012-04-02 |
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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.