Active NPI
Tilahun Haile Abraha, MD
- Neurology Physician
- Olympia, WA
National Provider Identifier
1124367776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 60218125
- Practice address
- 317 Nine Bark St NW
Olympia, WA 98502-8709 - Phone
- (703) 298-2838
- NPI assigned
- Feb 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 60218125 | WA | Primary |
Addresses
Primary practice location
317 Nine Bark St NW
Olympia, WA 98502-8709
Mailing address
317 Nine Bark St NW
Olympia, WA 98502-8709
Phone (703) 298-2838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60218125 | WA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1124367776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 NINE BARK ST NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028709",
"telephone_number": "703-298-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 NINE BARK ST NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028709",
"telephone_number": "703-298-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHA",
"first_name": "TILAHUN",
"middle_name": "HAILE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "60218125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.