Multicare Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MULTICARE HEALTH SYSTEM

Practice address

4215 49TH Ave NE
Tacoma, WA 98422-2421

Phone

(253) 459-7700

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vincent H Schmitz

Title

Cfo

Phone

(253) 459-8000

Specialties & licenses 12

Addresses

Other identifiers 2

Other names 1

• North Shore MultiCare Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Brar, ARNP

  • Nurse Practitioner
  • Federal Way, WA
  • NPI 1659048593
  NPD
• Erica S Grogan, D.O.

  • Family Medicine Physician
  • Bremerton, WA
  • NPI 1306816442

  Family Medicine

  NPD
• Veronica Hooper, DO

  • Family Medicine Physician
  • Toppenish, WA
  • NPI 1205861960

  Family Medicine

  NPD
• Viet H Nguyen, ARNP

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1386709384
  NPD
• Norman Seaholm, MD

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1780604272

  Family Medicine

  NPD
• Daniel W Thompson, MD

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1962422824

  Family Medicine

  NPD
• Jeffrey L. Clemons, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Tacoma, WA
  • NPI 1396711529
  NPD (past)
• Jill Tomlinson Ghent, DPT

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1891860318
  NPD (past)
• Cedrice Howard, PA-C

  • Physician Assistant
  • Bellingham, WA
  • NPI 1528644887
  NPD (past)
• Denise Kelly-Ballweber, CCC

  • Audiologist
  • Tacoma, WA
  • NPI 1205952215
  NPD (past)
• George B McClure, M.D.

  • Gynecology Physician
  • Lakewood, WA
  • NPI 1669584199
  NPD (past)
• Gina Cliett, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Oro Valley, AZ
  • NPI 1164697876

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1407808587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 49TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222421",
            "telephone_number": "253-459-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 49TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222421",
            "telephone_number": "253-459-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-459-8000"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069677",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "45941",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore MultiCare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System
• Multicare Health System

• All providers in Tacoma, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.