EBEN E TUCKER (NPI# 1437273166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437273166 |
| Entity Type | Individual |
| Full Name | EBEN E TUCKER |
| Gender | Male |
| Credential | MD |
| Practice Address | 1959 Ne Pacific St Seattle WA 98195-0001 |
| Practice Telephone | 2065984300 |
| Mailing Address | Po Box 50095 Seattle WA 98145-5095 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-29 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207RC0000X | Internal Medicine Specialization: Cardiovascular Disease | MD00042816 | WA | Allopathic & Osteopathic Physicians | |
| N | 207RI0011X | Internal Medicine Specialization: Interventional Cardiology | MD00042816 | WA | Allopathic & Osteopathic Physicians |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 8371239 | WA | MEDICAID | |
| P00071409 | WA | RAIL ROAD MEDICARE | Other |
| PECOS Associate Control (PAC) ID | 2365356847 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20031118000829 |
| Last Name | TUCKER |
| First Name | EBEN |
| Middle Name | E |
| Credential | MD |
| Organization Legal Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT |
| Location | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 |
| Phone Number | 3603369757 |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6800793522 |
| Number of Group Practice Members | 220 |
| Street Address | 1959 NE PACIFIC ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003051160 | Leonie A Neville | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-12-03 |
| 1790365005 | Katherine D Tran | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-11 |
| 1508446808 | Joungouk Kim · Ian Kim | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-11 |
| 1588243448 | Eyad Nusayr | Dentist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-06 |
| 1942889977 | Youjeong Jeong · Lily Jeong | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-06 |
| 1053990036 | Emma Roberts | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-06 |
| 1093394306 | Adam Z Cheng | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-05 |
| 1043899339 | Jessica Sher | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-05 |
| 1508445933 | Zesemayat Kidanu Mekonnen | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-04 |
| 1578142063 | Edwin Wang | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-03 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073191722 | Sophia Rachel Padelford | Student in an Organized Health Care Education/Training Program | Uwmc Main Hospital 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-04-01 |
| 1831777218 | Keely Coxon | Student in an Organized Health Care Education/Training Program | Uwmc Anatomic Pathology 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-03-29 |
| 1710563218 | Alexis Carnduff | Student in an Organized Health Care Education/Training Program | 356560 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2021-03-23 |
| 1083290845 | Mia Mckinstry | Student in an Organized Health Care Education/Training Program | 1959 Pacific St, Seattle, WA 98195-0001 | 2021-03-22 |
| 1003404096 | Guilherme Moura Da Cunha | Student in an Organized Health Care Education/Training Program | Department of Radiology 1959 Ne Pacific Street Nw011, Seattle, WA 98195-0001 | 2021-01-05 |
| 1194339465 | Rosa Nguyen | Pharmacist | 1956 Ne Pacific St # H362, Seattle, WA 98195-0001 | 2020-09-03 |
| 1225653397 | Rika Takada | Dentist · Periodontics | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1023638400 | Iain Mistrot | Physical Medicine & Rehabilitation · Sports Medicine | University of Washington 354070 Graves Building, Seattle, WA 98195-0001 | 2020-04-25 |
| 1558981613 | Gilbert Chao Ko | Pharmacist | Pharmacy Sciences Building 1956 Ne Pacific St H362, Seattle, WA 98195-0001 | 2020-04-19 |
| 1033747498 | Brittany Dawn Bassett | Pharmacist | 1956 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-31 |
| Find all providers in zip 98195-0001 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861079469 | Karima Carpenter Hamamsy | Student in an Organized Health Care Education/Training Program | University of Washington Department of Medicine, Health Sciences Building, Bb-527, Seattle, WA 98195 | 2021-03-28 |
| 1336726256 | Fei Lin | Student in an Organized Health Care Education/Training Program | 1959 Pacific St., Seattle, WA 98195 | 2021-03-26 |
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1760944482 | Lauren Agoubi | Student in an Organized Health Care Education/Training Program | University of Washington Department of Surgery, 1959 Ne Pacific St., Seattle, WA 98195 | 2019-04-02 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1225538929 | Soojung Lim · Ellie Lim | Pharmacist | 1410 Ne Campus Pkwy, Seattle, WA 98195 | 2018-02-19 |
| 1407386824 | Sherry S Wang | Radiology · Body Imaging | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1407380579 | Andrew Parkhurst Eitel | Student in an Organized Health Care Education/Training Program | 1959 Pacific St. B.o.x 356540, University of Washington, Seattle, WA 98195 | 2017-04-17 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295113108 | Sophia Larson | 1959 Ne Pacific St Ste Bb-552, Seattle, WA 98195 | 2015-05-12 | |
| 1285823187 | Vimal M Rabdiya | 201 16th Ave E # Aveneuee, Seattle, WA 98112-5226 | 2007-10-17 | |
| 1437368099 | John A. Murray | 12750 39th Ave Ne, Seattle, WA 98125-4612 | 2007-05-21 | |
| 1346398948 | James F Clifton | 604 Yale Ave N, Seattle, WA 98109-5534 | 2007-01-08 | |
| 1346303260 | Curtis S Burnett Md | 16259 Sylvester Rd, #401, Seattle, WA 98166-3059 | 2006-12-19 | |
| 1255409439 | Melish A Thompson Jr. | 5237 55th Ave Ne, Seattle, WA 98105 | 2006-12-04 | |
| 1003990722 | Margaret L. Hall | 1536 N 115th St Ste 200, Seattle, WA 98133-8400 | 2006-10-25 | |
| 1346325065 | Nathan Robert Every | Va Puget Sound Healthcare System, 1660 S. Columbian Way, Seattle, WA 98108 | 2006-10-25 | |
| 1215017132 | John V. Olsen | 550 17th Ave Ste 680, Seattle, WA 98122-5795 | 2006-10-16 | |
| 1306926225 | John L. Petersen | 801 Broadway Ste 808, Seattle, WA 98122-4328 | 2006-10-16 | |
| Find all providers in SEATTLE | ||||
| City | SEATTLE |
| Zip Code | 98195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376722116 | Tucker Investments & Associates LLC · Grace Healthcare of Tucker | Skilled Nursing Facility | 2165 Idlewood Rd, Tucker, GA 30084-4816 | 2007-10-29 |
| 1710147871 | Eben A Dearmond Jr. | Dentist · General Practice | 150 20th St Nw, Cleveland, TN 37311-3803 | 2008-06-12 |
| 1528066131 | Eben Davis | Chiropractor | 1 Embarcadero Ctr, San Francisco, CA 94111-3628 | 2005-07-08 |
| 1588752620 | Michael Eben Shulman | Psychologist · Clinical | 117 N 1st St Ste 113, Ann Arbor, MI 48104-1354 | 2006-10-11 |
| 1164089058 | Eben Alexander Iv | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-05-26 |
| 1053680033 | Eben S Schwartz | Clinical Neuropsychologist | 600 Highland Ave, Madison, WI 53792-5071 | 2011-12-21 |
| 1558598037 | Eben Lieberman | Social Worker · Clinical | 153 Hazard Ave, Enfield, CT 06082-4592 | 2009-06-11 |
| 1265457287 | Eben L Rosenthal | Otolaryngology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-07-12 |
| 1407472673 | Eben Cottrelle | Behavior Technician | 48 Boundary Rd, Malden, MA 02148-8321 | 2020-06-23 |
| 1679892251 | Robert Francis O'Dea | Clinical Pharmacology | 576 Eben Ct, Stillwater, MN 55082-3725 | 2010-05-22 |
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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.