PAUL TICE (NPI# 1629003850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629003850 |
| Entity Type | Individual |
| Full Name | PAUL TICE |
| Credential | MD |
| Practice Address |
2520 Cherry Ave Bremerton WA 98310-4229 |
| Practice Telephone | 3603773911 |
| Practice Fax Number | 3607926889 |
| Mailing Telephone | 3603772349 |
| Mailing Fax Number | 3603772263 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00013450 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8291205 | 05 |
| Street Address |
2520 CHERRY AVE |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222173 | Stephen Charles Springate | Radiology | 2520 Cherry Ave, S Charles Springate Md, Bremerton, WA 98310-4229 | 2005-08-17 |
| 1275167884 | Yelena Watson | Registered Nurse | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2020-02-24 |
| 1467919183 | Tiffani Merrick | Social Worker | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2019-02-28 |
| 1124585690 | Jennifer Schall Jenkins | Social Worker | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2019-02-20 |
| 1255858981 | Samantha Nicole Bylsma | Physician Assistant | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2017-08-24 |
| 1124549126 | Franciscan Medical Group | Internal Medicine | 2520 Cherry Ave, Bremerton, WA 98310 | 2017-06-29 |
| 1639616568 | Matthew Murray | Pharmacist | 2520 Cherry Ave, Harrison Hospital Pharmacy, Bremerton, WA 98310-4229 | 2017-01-30 |
| 1760834428 | Divya Sachdev | Internal Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2016-07-06 |
| 1447664750 | Rakshit Patnana | Hospitalist | 2520 Cherry Ave, Bremerton, WA 98310 | 2014-06-13 |
| 1366852105 | Zachary Michael Kane | Internal Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| 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 Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922059187 | Stephen E Pohl | Emergency Medicine | Hpo 1, Boone Road, Navy Hospital, Bremerton, WA 98312 | 2006-05-13 |
| 1487689691 | Jeffrey W Morse | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-12 |
| 1003841537 | Glen Carlson | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-12 |
| 1477588911 | Mark H Eisenberg | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-12 |
| 1801821228 | Stephen Mckinnon | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-12 |
| 1659304517 | Robert A Ast | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-07 |
| 1093748964 | Martin A. Bennett | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-07 |
| 1922030949 | William D Morris | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-07 |
| 1316979172 | Victoria Fields Vocelka | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-06 |
| 1457382228 | William H Moore | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-06 |
| Find all providers in BREMERTON | ||||
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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.