Louis Cornelius Enkema Jr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00017653 Issued in WA

Practice address

7440 Pacific Ave
Spanaway General Medical Clinic
Tacoma, WA 98408-7117

Phone

(253) 475-0511

Fax

(253) 475-7440

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Spanaway General Medical Clinic

  • General Practice Physician
  • Tacoma, WA
  • NPI 1770514937
  NPD
• South Hill General Medical Clinic

  • General Practice Physician
  • Puyallup, WA
  • NPI 1801827068
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1447281613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 PACIFIC AVE",
            "address_2": "SPANAWAY GENERAL MEDICAL CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087117",
            "telephone_number": "253-475-0511",
            "fax_number": "253-475-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 PACIFIC AVE",
            "address_2": "SPANAWAY GENERAL MEDICAL CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087117",
            "telephone_number": "253-475-0511",
            "fax_number": "253-475-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENKEMA",
        "first_name": "LOUIS",
        "middle_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00017653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117028",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Engerran, PSY.D.
• Amanda England
• Ruby Briseis England
• Andrew Donald Engle, MD
• Leah English, MSW
• Amanda Enlow
• Kasie Ennis
• Pamela Ennis
• Nicole Daniel Eno, MD
• Kayce Lynn Enos

• General Practice Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.