THOMAS C. ERDMANN (NPI# 1801838040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801838040 |
| Entity Type | Individual |
| Full Name | THOMAS C. ERDMANN |
| Credential | MD |
| Practice Address |
24920 104th Ave Se Kent WA 98030-6443 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Renton WA 98057-4934 |
| Practice Telephone | 2533952000 |
| Mailing Telephone | 4256565412 |
| Mailing Fax Number | 4256565423 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD00031253 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8159626 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 California Ave Sw, Seattle, WA 981163307 | 2063203399 | 2063205506 |
| Street Address |
24920 104TH AVE SE |
| City | KENT |
| State | WA |
| Zip Code | 98030-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547927 | Frank P S Fung | Internal Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2006-05-22 |
| 1922565795 | I Pan | Nurse Practitioner | 24920 104th Ave Se, Kent, WA 98030-6443 | 2019-02-27 |
| 1669902839 | Amanda J Zorn | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2017-06-19 |
| 1710412812 | Erin L Browder | Dietitian, Registered | 24920 104th Ave Se, Kent, WA 98030-6443 | 2017-04-26 |
| 1144603044 | Sherman Wu | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2015-07-09 |
| 1356731681 | Nanette Marie Guild | Social Worker | 24920 104th Ave Se, Kent, WA 98030-6443 | 2015-01-26 |
| 1578900213 | Samira Ali Farah | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2013-06-03 |
| 1407140056 | Johnny Y Shum | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2011-05-31 |
| 1831402841 | John Kittrell Clyde | Podiatrist | 24920 104th Ave Se, Kent, WA 98030-6443 | 2010-07-19 |
| 1043456684 | Michelle Lynn Rodgers | Physician Assistant | 24920 104th Ave Se, Kent, WA 98030 | 2009-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467413203 | Gregory Moten | Family Medicine | 174 Currie Hall Pkwy, Suite D, Kent, OH 44240-4387 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599273 | Etherton, Inc | Family Medicine | 2610 Yelm Hwy Se, Olympia, WA 98501-4826 | 2020-02-10 |
| 1205494291 | Reah Ann Tobola | Family Medicine | 4602 78th Avenue Ct W, University Place, WA 98466-3036 | 2019-06-04 |
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1275057655 | Choice Family Medicine LLC | Family Medicine | 135 Thorne St, Walla Walla, WA 99362-3142 | 2017-07-27 |
| 1366826240 | Andrew Parker | Family Medicine | 3324 Bernie Rd, Camano Island, WA 98282-8217 | 2015-07-10 |
| 1538572151 | Daniel Joseph Cevetello | Family Medicine | 127 Ne Camano Dr Ste A, Camano Island, WA 98282-8732 | 2014-06-11 |
| 1417205618 | John Gary Meyer | Family Medicine | 5715 48th St W, University Place, WA 98467-3677 | 2012-08-17 |
| 1932347119 | Iris Crawford | Family Medicine | 4208 Leary Way, Seattle, WA 98107 | 2009-01-27 |
| 1497925226 | Ingeborg Espinosa Cox | Family Medicine | 325 9th Ave # 359739, Seattle, WA 98104-2420 | 2008-03-07 |
| 1174791974 | Kenneth J Ritter Md Pllc | Family Medicine | 1310 South Union, A-201, Tacoma, WA 98405 | 2008-02-14 |
| Find all providers with the same taxonomy | ||||
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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.