Michael Tepper MD PS

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

602-353-095 Issued in WA

Legal business name

MICHAEL TEPPER MD PS

Doing business as

Advanced Healthcare Northwest

Practice address

1427 Jefferson Ave
Suite102
Enumclaw, WA 98022-3649

Phone

(360) 802-0803

Fax

(360) 802-0806

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Tepper, MD

Title

President

Phone

(360) 802-0803

Specialties & licenses 1

Addresses

Other names 1

• Advanced Healthcare Northwest Doing business as

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1437223765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3509",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980560016",
            "telephone_number": "360-802-0803",
            "fax_number": "360-802-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE102",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-802-0803",
            "fax_number": "360-802-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TEPPER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "TEPPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-802-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "602-353-095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merit Rehab, LLC
• James A Merrill, MD
• Jennifer L Meyer, LMFT
• Rebecca A Meyers, CRNA
• Michael a Kay DDS
• Caitlin Sue Michel
• Lisa Danielle Mierke, LMP
• Dawn Kinney Miller, LCSW, LICSW
• Michael Glen Miller, M.D.
• Sandra Ann Milligan, RN

• Primary Care Clinic/Center in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.