| Craig D Tuohy, MD | |
|
3021 Griffin Ave, Enumclaw, WA 98022-2369 | |
| (360) 825-6511 | |
| (360) 825-6536 |
| Full Name | Craig D Tuohy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3021 Griffin Ave, Enumclaw, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225043086 | NPI | - | NPPES |
| 110185018 | Other | WA | RAILROAD |
| 8929995 | Other | WA | CRIME VICTIMS |
| 8138240 | Medicaid | WA | |
| 126531 | Other | WA | L & I |
| 126675 | Other | WA | L & I |
| 126709 | Other | WA | L & I |
| 126699 | Other | WA | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD00029574 (Washington) | Primary |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig D Tuohy, MD 3021 Griffin Ave, Enumclaw, WA 98022-2369 Ph: (360) 825-6511 | Craig D Tuohy, MD 3021 Griffin Ave, Enumclaw, WA 98022-2369 Ph: (360) 825-6511 |
Patricia Ann Reyes Quaine, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1818 Cole St, Enumclaw, WA 98022 Phone: 360-802-5760 Fax: 253-428-8440 | |
Dr. Yongqing Li, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1455 Battersby Ave, Enumclaw, WA 98022 Phone: 253-426-6341 Fax: 253-426-6344 | |
Gene Bryant Trobaugh, MD FACC Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1427 Jefferson Ave, Suite 202, Enumclaw, WA 98022 Phone: 360-802-5021 Fax: 360-825-5265 | |
Liana Maxa, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1455 Battersby Ave, Enumclaw, WA 98022 Phone: 253-426-6341 Fax: 360-697-2514 | |
Dr. Jane M Houtz, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022 Phone: 360-825-8900 Fax: 360-825-8904 | |
Jun-beom Kwon, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1455 Battersby Ave, Enumclaw, WA 98022 Phone: 253-426-6341 Fax: 253-426-6344 |