Robert Emil Ettlinger, MD FACP FACR

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

16479 Issued in WA

Practice address

1901 South Cedar Street
201 Cedar Medical Center
Tacoma, WA 98405

Phone

(253) 272-2261

Fax

(253) 627-9842

NPI assigned

Sep 6, 2006

Last updated

May 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Robert E Ettlinger MD PS

  • Rheumatology Physician
  • Tacoma, WA
  • NPI 1619258415
  Authorized official Same address or phone

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1740383744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SOUTH CEDAR STREET",
            "address_2": "CEDAR MEDICAL CENTER #201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-2261",
            "fax_number": "253-627-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOUTH CEDAR STREET",
            "address_2": "201 CEDAR MEDICAL CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-2261",
            "fax_number": "253-627-9842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984053926",
            "country_code": "US",
            "telephone_number": "253-597-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTLINGER",
        "first_name": "ROBERT",
        "middle_name": "EMIL",
        "credential": "MD FACP FACR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "16479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1359603",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Et Enterprises, Inc (Home Instead Senior Care)
• Eternal Tree of Life, LLC
• Joseph R Etherage, PSYD
• Carl Etienne, OTR
• Leon Ettelson, LMP
• Eugene Thomas Etzkorn, M.D.
• Eunoia Psychological Assessment
• Julia Alexandra Evans Bell, CPC
• Amber Lee Evans
• Charlotte Evans, MD

• Rheumatology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Rheumatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.