Active NPI
Eddie A Espanol, MD
- Family Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60296602
- Practice address
- 3124 S 19TH St # 200
Tacoma, WA 98405-2433 - Phone
- (253) 459-6166
- NPI assigned
- May 18, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60296602 | WA | Primary |
Addresses
Primary practice location
3124 S 19TH St # 200
Tacoma, WA 98405-2433
Mailing address
3124 S 19TH St # 200
Tacoma, WA 98405-2433
Phone (253) 459-6166
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1322 3Rd St SE
Suite 100
Puyallup, WA 98372-3771
Phone (253) 403-7277
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Family Medicine | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900
1101 Madison St
Ste 800
Seattle, WA 98104
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
3124 S 19th St
#200
Tacoma, WA 98405
Phone (253) 459-6166
3124 S 19th St
Tacoma, WA 98405
Phone (253) 301-5050
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1700925351
-
- Family Medicine Physician
- Seattle, WA
- NPI 1720033145
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1497074314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 S 19TH ST # 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052433",
"telephone_number": "253-459-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 S 19TH ST # 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052433",
"telephone_number": "253-459-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPANOL",
"first_name": "EDDIE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60296602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.