Evergreen Nephrology Associates Pllc in Tacoma - Specialist

Evergreen Nephrology Associates Pllc - NPI 1942254362

Evergreen Nephrology Associates Pllc is a Specialist in Tacoma, Washington. Evergreen Nephrology Associates Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Evergreen Nephrology Associates Pllc is 1942254362. The last update date is 2020-08-22.

Evergreen Nephrology Associates Pllc's current location address is 1708 Yakima Ave, Tacoma, Washington. You can contact this provider via phone number 2532725881 and fax number 2533830161. The mailing address for Evergreen Nephrology Associates Pllc is 1708 Yakima Ave, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen Nephrology Associates Pllc
Address 1708 Yakima Ave, Tacoma, Washington
Phone Number 2532725881
Fax Number 2533830161
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Martin Jacob Thomas
Credentials MD
Telephone Number 2532725881

NPI Number Detail

NPI Number 1942254362
Provider Enumeration Date 2006-05-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1708 Yakima Ave
City Tacoma
State Washington (WA)
Post Code 984055307
Phone Number 2532725881
Fax Number 2533830161

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD00028956
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7089881 WA --

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FAQs about Evergreen Nephrology Associates Pllc

What is the Evergreen Nephrology Associates Pllc's unique identification number?

The Evergreen Nephrology Associates Pllc has been assigned the NPI (National Provider Identifier) Number 1942254362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Evergreen Nephrology Associates Pllc's facilities are geographically located?

The facilities of Evergreen Nephrology Associates Pllc are physically situated at the following location: 1708 Yakima Ave, Tacoma, WA, 984055307.

What is Evergreen Nephrology Associates Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Evergreen Nephrology Associates Pllc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date was the 1942254362 assigned to Evergreen Nephrology Associates Pllc?

The Evergreen Nephrology Associates Pllc was issued its 1942254362 on 2006-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Evergreen Nephrology Associates Pllc's information last updated?

The Evergreen Nephrology Associates Pllc's information was last updated on 2020-08-22.

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