Michael Tepper, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 00043030 Issued in WA

Practice address

1427 Jefferson Ave
102
Enumclaw, WA 98022-3649

Phone

(360) 802-0803

Fax

(360) 802-0806

NPI assigned

Oct 27, 2006

Last updated

Dec 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michael Tepper MD PS

  dba Advanced Healthcare Northwest

  • Primary Care Clinic/Center
  • Enumclaw, WA
  • NPI 1437223765
  Authorized official Same address or phone
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1942386388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 10TH ST",
            "address_2": "A111",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575525",
            "telephone_number": "360-802-0803",
            "fax_number": "360-802-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "102",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-802-0803",
            "fax_number": "360-802-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD 00043030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119285",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgery Center Enumclaw
• Gregory Susinger, REGISTERED DIETITIAN
• Jennifer Sweet, DO
• Sarah Tanner
• Tanya Wilke Family Medicine
• The Birth Cottage
• The Jade Key
• Samara R Thelen, MA
• Marjorie Michelle Thibert, LMP
• Susan M. Thode, M. ED

• Internal Medicine Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.