MAURICIO A ESCOBAR JR. (NPI# 1437389962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437389962 |
Entity Type | Individual |
Full Name | MAURICIO A ESCOBAR JR. |
Other Name | TONY ESCOBAR |
Credential | MD |
Practice Address |
311 S L St Tacoma WA 98405-3720 |
Practice Telephone | 2534034613 |
Mailing Telephone | 2534034613 |
Enumeration Date | 2009-07-17 |
Last Update Date | 2011-12-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD60067507 | WA | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD60067507 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972064970 | Mauricio Escobar | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2019-03-31 |
1497998736 | Mauricio Ramiro Escobar | Internal Medicine | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2009-04-16 |
Street Address |
311 S L ST |
City | TACOMA |
State | WA |
Zip Code | 98405-3720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164412813 | Amy Lawson Yuen | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2005-10-25 |
1629681192 | Valaree Schelhammer | Social Worker | 311 S L St, Tacoma, WA 98405-3720 | 2020-08-25 |
1699301879 | Jessica Clark | Genetic Counselor, MS | 311 S L St, Tacoma, WA 98405-4289 | 2020-03-19 |
1508490160 | Stephanie Mavin | Registered Nurse | 311 S L St, Tacoma, WA 98405-3720 | 2020-02-22 |
1649776725 | Jenni Rebecca Bartlett | Social Worker | 311 S L St, Tacoma, WA 98405-3720 | 2018-04-05 |
1528576337 | Barbara Guerrero | Social Worker | 311 S L St, Ms: 315-c2-php, Tacoma, WA 98405-3720 | 2018-01-15 |
1205343910 | Allison Kay Bowen | Social Worker | 311 S L St, Tacoma, WA 98405-3720 | 2018-01-03 |
1134638976 | Denise Quinn Parra | Nurse Practitioner | 311 S L St, Tacoma, WA 98405-3720 | 2017-09-25 |
1255874186 | Alisha Murrin | Occupational Therapy Assistant | 311 S L St, Ms 311-1-otpt, Tacoma, WA 98405-3720 | 2016-11-26 |
1841664000 | Danielle Marie Gregg | Physician Assistant | 311 S L St, Tacoma, WA 98405-3720 | 2015-11-25 |
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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 |
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Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487690889 | John Daniel Horton | Surgery | Madigan Army Medical Center 9040 Fitzsimmons, Tacoma, WA 98431-2170 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235366378 | Caitlin Smith | Surgery | 4800 Sand Point Way Ne # Oa9.220, Seattle, WA 98105-3901 | 2009-06-16 |
1710972336 | Loren Mason Cobb | Surgery | 3013 S 363rd St, Federal Way, WA 98003-7249 | 2005-09-20 |
1548587207 | Providence Physician Services Co | Surgery | 101 W 8th Ave, Ste 100 L-1, Spokane, WA 99204-2307 | 2010-04-21 |
1427258094 | Samuel Emlen Rice-townsend | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-07-23 |
1508065046 | David H Rothstein | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-07-14 |
1770792707 | Sara K. Rasmussen | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-05-22 |
1215002944 | Patrick J Healey | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-21 |
1700967064 | Robert S Sawin | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
1033290390 | John H T Waldhausen | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
1083704977 | Daniel James Ledbetter | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-13 |
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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.