Tanya Wilke Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD60090609 Issued in WA

Legal business name

TANYA WILKE FAMILY MEDICINE

Practice address

1427 Jefferson Ave
Suite 202
Enumclaw, WA 98022-3649

Phone

(360) 825-2849

Fax

(360) 825-5381

NPI assigned

Feb 4, 2015

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Wilke, MDNPI 1235339359

Title

Physician

Phone

(360) 825-2849

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10664/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanya Marie Wilke, MD

  • Family Medicine Physician
  • Enumclaw, WA
  • NPI 1235339359
  Medicare reassignment NPD Authorized official
• Emitis K Hosoda, M.D.

  • Specialist
  • Enumclaw, WA
  • NPI 1104994250
  NPD (past)
• Susan J Jouflas, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Puyallup, WA
  • NPI 1730268392
  NPD (past)
• Rhonda E Martinez, FNP-BC, ARNP

  • Family Nurse Practitioner
  • Enumclaw, WA
  • NPI 1346434552
  NPD (past)
• Lisa Ann Motland, PA-C

  • Physician Assistant
  • Covington, WA
  • NPI 1194248856
  NPD (past)
• Mary Muth, PA-C, L.AC

  • Acupuncturist
  • University Place, WA
  • NPI 1801807128
  NPD (past)
• Gene Bryant Trobaugh, MD FACC

  • Cardiovascular Disease Physician
  • Enumclaw, WA
  • NPI 1538227046
  NPD (past)
• Jill Rene' Willis, ARNP

  • Nurse Practitioner
  • Puyallup, WA
  • NPI 1366791782
  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1598155129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE 202",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-825-2849",
            "fax_number": "360-825-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE 202",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-825-2849",
            "fax_number": "360-825-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA WILKE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-825-2849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD60090609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0274400",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0251251",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haozhe Sun, MD
• Surgery Center Enumclaw
• Gregory Susinger, REGISTERED DIETITIAN
• Jennifer Sweet, DO
• Sarah Tanner
• Michael Tepper, MD
• The Birth Cottage
• The Jade Key
• Samara R Thelen, MA
• Marjorie Michelle Thibert, LMP

• 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 Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.