Active NPI
Ethan Allen Bachrach, MD
- Emergency Medicine Physician
- Richland, WA
National Provider Identifier
1700832771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00044707
- Practice address
- 888 Swift Blvd
Richland, WA 99352-3514 - Phone
- (509) 946-4611
- Fax
- (509) 942-2757
- NPI assigned
- May 25, 2006
- Last updated
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00044707 | WA | Primary |
| Emergency Medicine Physician | 207P00000X | MD27306 | OR |
Addresses
Primary practice location
888 Swift Blvd
Richland, WA 99352-3514
Mailing address
505 S 336TH St
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0216266 | Other | WA | LIWA |
| 8077014 | Medicaid | ID | |
| 0202675 | Other | WA | LIWA |
| 247610 | Medicaid | OR | |
| 8429581 | Medicaid | WA | |
| 0227894 | Other | WA | LIWA |
| 3075BA | Other | WA | BSWA |
| 3079BA | Other | WA | BSWA |
| 041428016 | Other | OR | BSOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27306 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Emergency Medicine Associates PC | Emergency Medicine | Past | Accepting new patients |
| Northwest Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Northwest Physician Associates, Apc | Emergency Medicine | Past | Accepting new patients |
| Abercrombie Radiological Consultants Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1407127442
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1134321888
-
- Diagnostic Radiology Physician
- Knoxville, TN
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1700832771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S 336TH ST",
"address_2": "SUITE 600",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036328",
"telephone_number": "253-838-6180",
"fax_number": "253-838-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523514",
"telephone_number": "509-946-4611",
"fax_number": "509-942-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHRACH",
"first_name": "ETHAN",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00044707",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD27306",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0216266",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8077014",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0202675",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247610",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8429581",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0227894",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA",
"identifier": "3075BA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA",
"identifier": "3079BA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSOR",
"identifier": "041428016",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.