YEVGENIY VAYNTRUB MD NPI 1811254584

NPI Information

NPI: 1811254584
Provider Name: YEVGENIY VAYNTRUB, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: FRANCISCAN MEDICAL GROUP

PECOS Registration: Yes

Address:
1708 YAKIMA AVE STE 300
TACOMA, WA
ZIP 98405
Phone: (253) 363-8700
Get Directions

Yevgeniy Vayntrub, MD is a pulmonary disease internal medicine in Tacoma, WA with 12 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Yevgeniy Vayntrub, MD NPI is 1811254584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:2012

The provider's business location address is:

1708 YAKIMA AVE STE 300
TACOMA, WA
ZIP 98405-309
Phone: (253) 363-8700
Fax: (253) 272-0419

The NPI 1811254584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 2/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	12404230-1205	UTAH	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	MD61184072	WASHINGTON	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	12404230-1205	UTAH	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	MD61184072	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2202033	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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