Organization Active NPI

Robert E Ettlinger MD PS

  • Rheumatology Physician
  • Tacoma, WA
National Provider Identifier
1619258415
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
16479 Issued in WA
Legal business name
ROBERT E ETTLINGER MD PS
Practice address
1901 S Cedar St
Suite 108
Tacoma, WA 98405-2395
Phone
(253) 272-2261
Fax
(253) 274-5018
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Robert E Ettlinger, MD
Title
Director
Phone
(253) 272-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 16479 WA Primary

Addresses

Primary practice location

1901 S Cedar St
Suite 108
Tacoma, WA 98405-2395

Mailing address

1901 S Cedar St
Suite 108
Tacoma, WA 98405-2395
Phone (253) 272-2261

National Provider Directory

National Provider Directory

Locations

1901 S Cedar St
Ste 108
Tacoma, WA 98405
Phone (253) 212-0078

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1619258415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "SUITE 108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052395",
            "telephone_number": "253-272-2261",
            "fax_number": "253-274-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "SUITE 108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052395",
            "telephone_number": "253-272-2261",
            "fax_number": "253-274-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E ETTLINGER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "ETTLINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "253-272-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "16479",
            "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 7, 2011; 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.