ZACHARY TEGEN


Address: 9040a Jackson Ave, Tacoma, WA 98431-0001
Phone: 2539680088

ZACHARY TEGEN (NPI# 1962003111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962003111
Entity Type Individual
Full Name ZACHARY TEGEN
Practice Address 9040a Jackson Ave
Tacoma
WA 98431-0001
Mailing Address 3123 Hanna Dr Ne
Lacey
WA 98516-7169
Practice Telephone 2539680088
Mailing Telephone 7144880806
Enumeration Date 2020-11-04
Last Update Date 2020-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246XC2901X Spec/Tech, Cardiovascular
Specialization: Cardiovascular Invasive Specialist
00118967 WA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 9040A JACKSON AVE
City TACOMA
State WA
Zip Code 98431-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013905249 Richard Lyle Urbon Jr. Internal Medicine 9040a Jackson Ave, Tacoma, WA 98431-6283 2005-10-11
1225681968 Elena Brooke Haymond Social Worker 9040a Jackson Ave, Tacoma, WA 98431-0001 2019-07-22
1326529116 Molly Glockling Nurse Practitioner 9040a Jackson Ave, Tacoma, WA 98431-1130 2018-08-28
1972009108 Joshua Davey Read Student in an Organized Health Care Education/Training Program 9040a Jackson Ave, Tacoma, WA 98431-0001 2018-04-05
1114434701 Timothy Edward Hausmann Nurse Anesthetist, Certified Registered 9040a Jackson Ave, Tacoma, WA 98431-5656 2018-01-04
1003350687 Madigan Army Medical Center Military Hospital 9040a Jackson Ave, Tacoma, WA 98431-0001 2016-12-15
1649624453 Madigan Army Medical Center General Acute Care Hospital 9040a Jackson Ave, Att: Mchj-c-e, Tacoma, WA 98431-0001 2016-04-18
1962866921 Christina Renee Yoon Registered Nurse 9040a Jackson Ave, Attn: Mchj-clq-q, Christina Yoon Rn, Tacoma, WA 98431-1100 2016-04-06
1174996292 Sara Whitney Young Dietitian, Registered 9040a Jackson Ave, Tacoma, WA 98431-0001 2015-11-11
1720472053 Jonathan Pickett Family Medicine 9040a Jackson Ave, Tacoma, WA 98431-1000 2015-03-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 246XC2901X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Cardiovascular
Specialization Cardiovascular Invasive Specialist

Taxonomy Definition

Definition to come...

Competitor

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City TACOMA
Zip Code 98431

Improve Information

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Dataset Information

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.

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