Michael L. Tjoelker, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00022643 Issued in WA

Legal business name

MICHAEL L. TJOELKER, M.D.

Practice address

3327 Colby Ave
Everett, WA 98201-6403

Phone

(425) 259-0049

Fax

(425) 258-6403

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lyle Tjoelker, M.D.

Title

Owner

Phone

(425) 259-0049

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1649454026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982016403",
            "telephone_number": "425-259-0049",
            "fax_number": "425-258-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982016403",
            "telephone_number": "425-259-0049",
            "fax_number": "425-258-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. TJOELKER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "TJOELKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-259-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00022643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000892",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Thomas Metcalf, LMHC,NCC
• Sarah Meuwissen
• Anne Hammond Meyer, PHD
• Eileen P Meyers, LMP
• Joshua Logan Meza, PMHNP-BC
• Michael P Hogan DC PLLC
• David Michael, MD
• Mera Michael
• Sheila K Michaels
• Janet Kay Michaelsen, MSW

• Dermatology Physician in Everett, WA
• Providers in Everett, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.