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TACOMA DIGESTIVE DISEASE CENTER NPI 1417983867


NPI Information

NPI: 1417983867
Provider Name: TACOMA DIGESTIVE DISEASE CENTER
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1112 6TH AVE
200
TACOMA, WA
ZIP 98405
Phone: (253) 272-8664
Get Directions

TACOMA DIGESTIVE DISEASE CENTER is a gastroenterology internal medicine in Tacoma, WA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. TACOMA DIGESTIVE DISEASE CENTER NPI is 1417983867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1112 6TH AVE
200
TACOMA, WA
ZIP 98405-040
Phone: (253) 272-8664
Fax: (253) 404-1352

The provider's authorized official is Richard D Baerg .
The authorized official title is Medical Director and has the following contact phone number (253) 272-8664.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17079247MEDICAIDWASHINGTON
2P07414OTHERREGENCE BLUE SHIELD
30077665OTHERWASHINGTONLABOR & INDUSTRIES
4CD9272OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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