MR. MATTHEW G THACHER SR. (NPI# 1811974686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811974686 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW G THACHER SR. |
| Practice Address |
1519 Alaskan Way S Seattle WA 98134-1102 |
| Practice Telephone | 2062176439 |
| Mailing Telephone | 2062176439 |
| Mailing Fax Number | 2062176636 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | WA | Other Service Providers |
| Street Address |
1519 ALASKAN WAY S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98134-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033196845 | Arturo Herida Castro | Military Health Care Provider | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2005-12-22 |
| 1922646819 | June F Lacey | Dental Assistant | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2019-12-11 |
| 1235304486 | Michael Roy Lagoe | Technician, Other | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2008-04-29 |
| 1114120003 | David Charles Groden | Dental Hygienist | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2007-06-07 |
| 1720294499 | Natalie Ann Larsen | Technician, Other | 1519 Alaskan Way S, Uscgc Midgett (whec-726), Seattle, WA 98134-1102 | 2007-05-16 |
| 1760545529 | Angelia Luna Albright | Licensed Practical Nurse | 1519 Alaskan Way S, Isc Seattle Medical, Seattle, WA 98134-1102 | 2006-12-19 |
| 1003978685 | Ronald Closson | Technician, Other | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2006-12-14 |
| 1710048491 | Nathan Kenneth Miller | Technician, Other | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2006-12-13 |
| 1891867248 | Ludmila Chumak | Physician Assistant | 1519 Alaskan Way S, Isc Seattle, Seattle, WA 98134-1102 | 2006-11-14 |
| 1780763367 | Rick Lee Miller | Technician, Other | 1519 Alaskan Way S, Isc Seattle, Seattle, WA 98134-1102 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1861907008 | Norman Fuller | Counselor | 1700 Airport Way S., Seattle, WA 98134 | 2017-12-11 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1811399223 | Alexandra Zigman | Physical Therapist | 2245 3rd Avenue South, Seattle, WA 98134 | 2014-09-17 |
| 1427467257 | Soar Academies | Local Education Agency (LEA) | 210 S Hudson, Seattle, WA 98134 | 2014-08-06 |
| 1730514449 | Vanessa G Schmidt | Counselor | 2133 3rd Avenue, Ets Reach, Seattle, WA 98134 | 2013-09-12 |
| 1932544152 | Anne Vickars Heidbrink | Registered Nurse | 3rd Ave South, Seattle School District, Seattle, WA 98134 | 2013-05-01 |
| 1003156324 | West Coast Behavioral Consultants Inc Dba Blueprints | Behavioral Analyst | 910 S. Horton St., Unit 703, Seattle, WA 98134 | 2013-02-22 |
| 1306194998 | George Butchko | Pharmacist | 4401 Fourth Ave S, Seattle, WA 98134 | 2012-08-29 |
| 1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
| Find all providers in zip 98134 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306020359 | Felipson Zabala Ramos Jr. | Military Health Care Provider | 2001 Sixth Ave, Suite 2705, Us Air Force, Seattle, WA 98312-2547 | 2007-12-27 |
| 1437367257 | Pin Y Yau | Military Health Care Provider | 4735 E Marginal Way S, Seattle, WA 98134-2388 | 2007-05-18 |
| 1033196845 | Arturo Herida Castro | Military Health Care Provider | 1519 Alaskan Way S, Seattle, WA 98134-1102 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324962 | Elizabeth Thi Nguyen | Military Health Care Provider | 27831 37th Ave S, Auburn, WA 98001-1065 | 2019-09-09 |
| 1760996235 | Brian Scott Loomis | Military Health Care Provider | 701 Hospital Loop Ste 42, Fairchild Afb, WA 99011-8702 | 2017-11-20 |
| 1144549379 | Samantha Colleen Myers | Military Health Care Provider | 2000 W Marine View Dr # 2134, Everett, WA 98207-2900 | 2010-05-27 |
| 1700940434 | Charles Edwin Olson | Military Health Care Provider | One Boone Rd, Bremerton, WA 98312 | 2006-12-20 |
| 1013013309 | Michael Matthew Dickman | Military Health Care Provider | 9040 Jackson Avenue Family Medicine Department, Tacoma, WA 98431 | 2006-09-15 |
| 1003920380 | Norman Albert Gosch | Military Health Care Provider | 17th and C St., Bldg. 11582, Fort Lewis, WA 98433 | 2006-08-17 |
| 1982662169 | Marvin J Gottschall | Military Health Care Provider | 701 Hospital Loop 92 Mdg, Ste 132, Fairchild Afb, WA 99011 | 2006-05-04 |
| 1518935931 | Eric A. Lange | Military Health Care Provider | 312 Fitzsimmons Ave, Tacoma, WA 98341 | 2006-03-10 |
| 1770555393 | Paul Mccafferty Ryan | Military Health Care Provider | Attn: Mchj-sop, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-02-07 |
| 1255998076 | Scott Michael Brown | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-05-28 |
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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.