WILLIAM J PENN M.D.
NPI 1194771535
Emergency Medicine in Yelm, WA

Active since May 26, 2006
201 TAHOMA BLVD, SUITE 102, YELM, WA 98597(360) 458-7761 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About William J Penn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM J PENN M.D. (NPI 1194771535) is an individual emergency medicine provider in Yelm, Washington, licensed in Washington (MD00020401) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1194771535
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameWILLIAM J PENNCredential: M.D.
Location Address201 TAHOMA BLVD, SUITE 102Yelm, WA 98597-7735
Mailing Address201 Tahoma Blvd, Suite 102Yelm, WA 98597-7735 · (360) 458-7761
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 20, 2013
NPI 1194771535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WA · MD00020401
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

201 TAHOMA BLVD, Yelm, WA 98597

Other Identifiers 5

Medicare UPINA08564
OtherT00079WA · Regence
Medicare ID-Type UnspecifiedAB07109
Medicaid1018621WA
Other62141WA · L&i - Workers Comp

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
201 TAHOMA BLVD, SUITE 208
YELM, WA 98597
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Nurse Practitioner (Family)
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194771535, enumerated as an "individual" on May 26, 2006.

The provider is located at 201 TAHOMA BLVD SUITE 102 YELM, WA 98597 and the phone number is (360) 458-7761.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.