EBEN E TUCKER
Internal Medicine (Cardiovascular Disease)

Address: 1959 Ne Pacific St, Seattle, WA 98195-0001

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifiers

Identifier State Issuer Type Code
8371239 WA MEDICAID
P00071409 WA RAIL ROAD MEDICARE Other

Physician Overview

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

Office Location

Street Address 1959 NE PACIFIC ST
City SEATTLE
State WA
Zip Code 98195-0001

Providers in the same location

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
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Providers in the same zip code

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
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Providers in the same zip code prefix

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City SEATTLE
Zip Code 98195

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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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