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 24 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

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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
1 NPI 1205094489
2 Entity Type Code 1
3 Provider Last Name Legal Name EKE
4 Provider First Name SANCAR
5 Provider Credential Text M.D.
6 Provider First Line Business Practice Location Address 1450 5TH ST SE STE 3500
7 Provider Business Practice Location Address City Name PUYALLUP
8 Provider Business Practice Location Address State Name WA
9 Provider Business Practice Location Address Postal Code 983724687
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 2536974740
12 Provider Business Practice Location Address Fax Number 2536974744
13 Provider Enumeration Date 5/24/2008
14 Last Update Date 8/30/2013
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207RN0300X
17 Provider License Number 1 4301089957
18 Provider License Number State Code 1 MI
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 207R00000X
21 Provider License Number 2 MD60271258
22 Provider License Number State Code 2 WA
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 207RN0300X
25 Provider License Number 3 MD60271258
26 Provider License Number State Code 3 WA
27 Healthcare Provider Primary Taxonomy Switch 3 Y
28 Other Provider Identifier 1 03810016252
29 Other Provider Identifier Type Code 1 05
30 Other Provider Identifier State 1 WV
31 Other Provider Identifier 2 23394
32 Other Provider Identifier Type Code 2 01
33 Other Provider Identifier State 2 WV
34 Other Provider Identifier Issuer 2 STATE LICENSE
35 Other Provider Identifier 3 FE1428691
36 Other Provider Identifier Type Code 3 01
37 Other Provider Identifier State 3 WV
38 Other Provider Identifier Issuer 3 DEA
39 Other Provider Identifier 4 EK4273261
40 Other Provider Identifier Type Code 4 01
41 Other Provider Identifier State 4 WV
42 Other Provider Identifier Issuer 4 INDIVIDUAL MEDICARE PROVIDER NUMBER
43 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.