Tommy L Love, DO | |
1740 Nw Maple St, Ste 100, Issaquah, WA 98027-8924 | |
(425) 313-4800 | |
(425) 391-1689 |
Full Name | Tommy L Love |
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Gender | Male |
Speciality | Emergency Medicine - Undersea And Hyperbaric Medicine |
Location | 1740 Nw Maple St, Issaquah, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164491403 | NPI | - | NPPES |
D3487 | Medicaid | UT | |
1164491403 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 4551473-1204 (Utah) | Primary |
Entity Name | Davis Hospital Holdings, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851333249 PECOS PAC ID: 6709784390 Enrollment ID: O20040119000148 |
Entity Name | Physician Group Of Utah Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Mailing Address | Practice Location Address |
---|---|
Tommy L Love, DO 11400 Se 8th St, Ste 210, Bellevue, WA 98004-6461 Ph: (425) 688-3730 | Tommy L Love, DO 1740 Nw Maple St, Ste 100, Issaquah, WA 98027-8924 Ph: (425) 313-4800 |
Lauren Lin Hart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Ne Blakely Dr, Issaquah, WA 98029 Phone: 425-313-4000 | |
Dr. Randal D Bensen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2005 Nw Sammamish Rd, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0809 | |
Dr. Morgan M Wise, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Ne Blakely Dr, Issaquah, WA 98029 Phone: 425-313-4000 | |
Dr. Richard John Plunkett, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2005 Nw Sammamish Rd, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0809 | |
Brenna Born, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2005 Nw Sammamish Rd, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0809 | |
Dr. Thomas Boyer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2005 Nw Sammamish Rd, Bldg B100, Issaquah, WA 98027 Phone: 425-394-0610 Fax: 425-394-0611 |