M Tarek Baghdadi MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

00026186 Issued in WA

Legal business name

M TAREK BAGHDADI MD

Practice address

1802 Yakima Ave
Ste 300
Tacoma, WA 98405-4499

Phone

(253) 383-5628

Fax

(253) 383-5687

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Nancy L Pilkenton

Title

Office Manager

Phone

(253) 383-5628

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M. Tarek Baghdadi, MD

  • Specialist
  • Tacoma, WA
  • NPI 1376650697
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1851618920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE",
            "address_2": "STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054499",
            "telephone_number": "253-383-5628",
            "fax_number": "253-383-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE",
            "address_2": "STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054499",
            "telephone_number": "253-383-5628",
            "fax_number": "253-383-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M TAREK BAGHDADI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "PILKENTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-383-5628"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "00026186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055185",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Lyons
• Veronica Lyons
• Melinda M. Lysen, LMHC
• Kevin Michael Lyter, D.C.
• Amanda Lyyski
• Kevin Ma, MD
• Wendy Ma
• Emily Ellen Maag, MEDICAL ASSISTANT
• Heidi Maas, ND
• Brandon Mabanag

• Specialist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.