CLARK WHEELER DEEM (NPI# 1770528721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770528721 |
| Entity Type | Individual |
| Full Name | CLARK WHEELER DEEM |
| Credential | M.D. |
| Practice Address |
4707 S 19th St Suite 210 Tacoma WA 98405-1151 |
| Practice Telephone | 2532724600 |
| Practice Fax Number | 2532726289 |
| Mailing Telephone | 2532724600 |
| Mailing Fax Number | 2532726289 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD00012765 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 180046385 | 01 | |
| WA | 1060896 | 05 | |
| BLUE SHIELD | DE7443 | 01 |
| Street Address |
4707 S 19TH ST SUITE 210 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386683837 | Francis T Geissler | Ophthalmology | 4707 S 19th St, Ste 210, Tacoma, WA 98405-1151 | 2006-06-06 |
| 1194755611 | Eye Mds of Puget Sound, Pllc | Durable Medical Equipment & Medical Supplies | 4707 S 19th St, Suite 210, Tacoma, WA 98405-1151 | 2006-07-03 |
| 1003858358 | Eye Mds of Puget Sound Pllc | Ophthalmology | 4707 S 19th St, Suite 210, Tacoma, WA 98405-1151 | 2006-06-12 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073951240 | Maxine Amy Harvey | Ophthalmology | 9040 Jackson Ave Madigan Army Medical Ctr, Tacoma, WA 98431-4504 | 2013-06-11 |
| 1053534347 | St Marks Eye Institute Inc | Ophthalmology | 502 S 'm' St, Tacoma, WA 98405 | 2007-04-11 |
| 1396890653 | Charles William Rance | Ophthalmology | 1901 S Union Ave Ste A211, Allenmore Medical Center, Tacoma, WA 98405-1709 | 2007-01-24 |
| 1467510826 | Hsushi Yeh | Ophthalmology | 1311 South Union Avenue, Suite 101, Tacoma, WA 98405-1959 | 2006-12-05 |
| 1326150657 | Jonathan Christian Bahmiller | Ophthalmology | 2115 South 56th Street, Suite 103, Tacoma, WA 98388 | 2006-08-31 |
| 1922012582 | Andrew Davis | Ophthalmology | 9040a Fitzsimmons St, Tacoma, WA 98433-2010 | 2006-07-28 |
| 1285664375 | Victor W Chiu | Ophthalmology | 3602 S 19th Street, Tacoma, WA 98405 | 2006-07-04 |
| 1386683837 | Francis T Geissler | Ophthalmology | 4707 S 19th St, Ste 210, Tacoma, WA 98405-1151 | 2006-06-06 |
| 1851365316 | Darryl Jay Ainbinder | Ophthalmology | Madigan Army Medical Center Mchj-sou, Tacoma, WA 98431-0001 | 2006-02-13 |
| 1689647109 | Mark Lewis Nelson | Ophthalmology | 2245 S 19th St, 200, Tacoma, WA 98405-2945 | 2006-02-08 |
| Find all providers in TACOMA | ||||
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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.