SANCAR EKE, M.D. - NPI NUMBER 1205094489

Summary

Provider Name: SANCAR EKE, M.D.

NPI Number: 1205094489

Clasification: Internal Medicine (207RN0300X)

Specialization: Nephrology

Organization: MULTICARE HEALTH SYSTEM

Address:
1450 5TH ST SE STE 3500
PUYALLUP, WA
ZIP 98372

Phone Number: (253) 697-4740



Detailed Information

Sancar Eke, M.D. is a nephrology internist in Puyallup, WA with 25 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. The assigned NPI number for this provider is 1205094489 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1450 5TH ST SE STE 3500
PUYALLUP, WA
ZIP 98372-687
Phone: (253) 697-4740
Fax: (253) 697-4744

The enumeration date for this NPI number is 5/24/2008 and was last updated on 8/30/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RN0300X Internal Medicine Nephrology 4301089957 MI No
2 207R00000X Internal Medicine MD60271258 WA No
3 207RN0300X Internal Medicine Nephrology MD60271258 WA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 03810016252 MEDICAID WV
2 23394 OTHER WV STATE LICENSE
3 FE1428691 OTHER WV DEA
4 EK4273261 OTHER WV INDIVIDUAL MEDICARE PROVIDER NUMBER

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1205094489 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
3 Provider Last Name Legal Name EKE The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name SANCAR The first name of the provider, if the provider is an individual.
5 Provider Credential Text M.D. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
6 Provider First Line Business Practice Location Address 1450 5TH ST SE STE 3500 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name PUYALLUP The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name WA The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 983724687 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 2536974740 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 2536974744 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 5/24/2008 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 8/30/2013 The date that a record was last updated or changed.
15 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
16 Healthcare Provider Taxonomy Code 1 207RN0300X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
17 Provider License Number 1 4301089957 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
18 Provider License Number State Code 1 MI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 207R00000X
21 Provider License Number 2 MD60271258 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 2 WA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 207RN0300X
25 Provider License Number 3 MD60271258 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 3 WA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 3 Y
28 Other Provider Identifier 1 03810016252 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 1 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier State 1 WV
31 Other Provider Identifier 2 23394 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
32 Other Provider Identifier Type Code 2 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
33 Other Provider Identifier State 2 WV
34 Other Provider Identifier Issuer 2 STATE LICENSE
35 Other Provider Identifier 3 FE1428691 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
36 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
37 Other Provider Identifier State 3 WV
38 Other Provider Identifier Issuer 3 DEA
39 Other Provider Identifier 4 EK4273261 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
40 Other Provider Identifier Type Code 4 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
41 Other Provider Identifier State 4 WV
42 Other Provider Identifier Issuer 4 INDIVIDUAL MEDICARE PROVIDER NUMBER
43 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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