PROCTOR MEDICAL CLINIC (NPI# 1952637332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952637332 |
| Entity Type | Organization |
| Organization Name | PROCTOR MEDICAL CLINIC |
| Practice Address |
1208 South Proctor St Tacoma WA 98405 |
| Practice Telephone | 2534445060 |
| Mailing Telephone | 2534445060 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | KSENIA ARUTYUNYAN (PRESIENT) |
| Authorized Official Telephone | 2534445060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1208 SOUTH PROCTOR ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1841553740 | Nevine F N Makari | General Practice | 6909 Bridgland Ln, Tacoma, WA 98407-1020 | 2012-06-17 |
| 1194050773 | K and A Diagnostic Center | General Practice | 1206 South Proctor St, Tacoma, WA 98405 | 2009-10-15 |
| 1811915374 | Dung Xuan Nguyen | General Practice | 3736 S G St, Tacoma, WA 98418-6725 | 2006-07-17 |
| 1770514937 | Spanaway General Medical Clinic | General Practice | 15005 Pacific Ave, Spanaway General Medical Clinic, Tacoma, WA 98444 | 2006-07-06 |
| 1710936208 | Jane Ann Moore | General Practice | 6002 Westgate Blvd, Suite 160, Tacoma, WA 98406-2571 | 2006-05-10 |
| 1295716884 | Thu Van Le | General Practice | 1212 S 11th St, Suite 39, Tacoma, WA 98405-4021 | 2005-11-10 |
| 1841750536 | Clayton Andrew Harris | General Practice | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-03-20 |
| 1942766845 | Merrill Maguire Brady Moe | General Practice | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2019-02-15 |
| 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.