Individual provider Active NPI

Roy Alfred Semlacher, MD

  • Plastic Surgery Physician
  • Tacoma, WA
National Provider Identifier
1437106283
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD60572161 Issued in WA
Practice address
419 S L St
Tacoma, WA 98405-3799
Phone
(916) 420-6334
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A055919 CA
Plastic Surgery Physician 208200000X MD60572161 WA Primary

Addresses

Primary practice location

419 S L St
Tacoma, WA 98405-3799

Mailing address

419 S L St
Tacoma, WA 98405-3799
Phone (916) 420-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013001702 WA Practitioner - Plastic and Reconstructive Surgery 7012069990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

5005 Main St
Suite 125
Tacoma, WA 98407-3177
Phone (253) 759-4522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A055919CAMDPlastic Surgery Physician
MD60572161WAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Sep 8, 2015 Accepting new patients
Cascade Hernia and Surgical Solutions PS CurrentSince Jul 1, 2023 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Cascade Hernia and Surgical Solutions PS CurrentSince Jul 1, 2023 Accepting new patients
Franciscan Medical Group CurrentSince Mar 15, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Mar 15, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Emergency and Acute Care Medical Corporation PastSince Jan 14, 2024 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

208 17th Ave SE
#201
Puyallup, WA 98372
Phone (253) 840-1999

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

5005 Main St
Ste 125
Tacoma, WA 98407
Phone (253) 759-4522

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

419 S L St
Tacoma, WA 98405
Phone (253) 403-7257

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1437106283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S L ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053799",
            "telephone_number": "916-420-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S L ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053799",
            "telephone_number": "916-420-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMLACHER",
        "first_name": "ROY",
        "middle_name": "ALFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A055919",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD60572161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.