Fantahun M Tedla (NPI# 1033548144, PAC ID# 2668602996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033548144 |
| PAC ID by PECOS | 2668602996 |
| Professional Enrollment ID | I20140718001605 |
| Full Name | Fantahun M Tedla |
| Organization Legal Name | THE EVERETT CLINIC PLLC |
| Address |
21401 72nd Ave W Everett Clinic At Edmonds Edmonds WA 98026-7702 |
| Phone Number | 4253041101 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406752153 |
| Number of Group Practice Members | 504 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 | 4253041101 | THE EVERETT CLINIC PLLC |
| 1330 Rockefeller Ave, Everett, WA 98201-1684 | 4252590966 | THE EVERETT CLINIC PLLC |
| 1818 121st St Se, Everett, WA 98208-5985 | THE EVERETT CLINIC PLLC | |
| 3901 Hoyt Ave, Everett, WA 98201-4918 | 4253395442 | THE EVERETT CLINIC PLLC |
| 3927 Rucker Ave, Everett, WA 98201-4833 | THE EVERETT CLINIC PLLC | |
| 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 4253971700 | THE EVERETT CLINIC PLLC |
| 2901 174th St Ne, Marysville, WA 98271-4743 | 3604541900 | THE EVERETT CLINIC PLLC |
| 4420 76th St Ne, Marysville, WA 98270-3726 | 3606517490 | THE EVERETT CLINIC PLLC |
| 4410 106th St Sw, Mukilteo, WA 98275-4700 | THE EVERETT CLINIC PLLC | |
| 1201 N 175th St, Shoreline, WA 98133-5064 | 4253394299 | THE EVERETT CLINIC PLLC |
| Organization Legal Name | THE EVERETT CLINIC PLLC |
| Physicians | 578 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nishant Nannapaneni | Physical Medicine and Rehabilitation | The Everett Clinic Pllc | 1303 Pacific Ave, Everett, WA 98201-4234 |
| Christina Sujin Theis | Nurse Practitioner | The Everett Clinic Pllc | 3916 148th St Se, Suite 201, Mill Creek, WA 98012-4751 |
| Katie Uberti | Nurse Practitioner | The Everett Clinic Pllc | 4410 106th St Sw, Mukilteo, WA 98275-4700 |
| Christopher Bolander | Family Medicine | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
| Damilola Oluyitan | Family Medicine | The Everett Clinic Pllc | 9924 Ne 185th St, Suite 215, Bothell, WA 98011-3504 |
| Stephanie Hodges | Family Medicine | The Everett Clinic Pllc | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 |
| Justin Steffener | Psychologist, Clinical | The Everett Clinic Pllc | 15418 Main St, Mill Creek, WA 98012-9030 |
| Ge Zhao | Dermatology | The Everett Clinic Pllc | 4004 Colby Ave, Suite 101, Everett, WA 98201-6203 |
| Diana I Bartlett | Nurse Practitioner | The Everett Clinic Pllc | 1201 N 175th St, Shoreline, WA 98133-5064 |
| Tsu-en Tan | Physical Medicine and Rehabilitation | The Everett Clinic Pllc | 3927 Rucker Ave, Everett, WA 98201-4833 |
| Street Address |
21401 72ND AVE W EVERETT CLINIC AT EDMONDS |
| City | EDMONDS |
| State | WA |
| Zip | 98026-7702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjiv Kashyap | Physician Assistant | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Prakash Thapaliya | Medical Oncology | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Michael D Carpenter | Physical Medicine and Rehabilitation | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Sherri K Nevala | Physician Assistant | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Jody B Friday | Physician Assistant | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Suk Bo Lee | Physical Medicine and Rehabilitation | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Andrew James Pastor | Orthopedic Surgery | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Emily Coraci | Physician Assistant | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Sidra Aslam | Internal Medicine | The Everett Clinic Pllc | 21401 72nd Ave W, Everett Clinic At Edmonds, Edmonds, WA 98026-7702 |
| Elise J Bradley | Occupational Therapy | Premier Therapy Associates, LLC | 21401 72nd Ave W, Edmonds, WA 98026-7702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry M Hochberg | Family Medicine | 22721 76th Ave W B, Edmonds, WA 98026-3001 | |
| Arun Vijay | Family Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Susan O'brien | Emergency Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Fumi Obuse | Emergency Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Alessa L Lopez-castor | Nurse Practitioner | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| Alison K Willam | Emergency Medicine | Swedish Health Services | 21600 Hwy 99, Suite 240, Edmonds, WA 98026-5139 |
| James Rankin Thompson | Physical Therapy | Premier Therapy Associates, LLC | 21827 76th Ave W, Suite 101, Edmonds, WA 98026-5141 |
| Debora I Sciscoe | Obstetrics/gynecology | 8426 187th St Sw, Edmonds, WA 98026-5744 | |
| Teresa Haaga | Clinical Social Worker | 7614 195th St Sw, Suite 101, Edmonds, WA 98026-6260 | |
| Jessie Kim-deobald | Gastroenterology | 7614 195th St Sw, Suite 203, Edmonds, WA 98026-6260 | |
| Find all physicians in zip 98026 | |||
| City | EDMONDS |
| Zip Code | 98026 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EDMONDS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Fantahun M Tedla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.