LAKE TYE EMERGENCY PHYSICIANS PLLC
NPI 1467880518
Emergency Medicine in Monroe, WA

Q: What is Lake Tye Emergency Physicians PLLC's NPI number?

The NPI number for Lake Tye Emergency Physicians PLLC is 1467880518. It was assigned to this organization in the NPPES registry on October 29, 2013.

Q: What is Lake Tye Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since October 29, 2013

14701 179TH AVE SE, MONROE, WA 98272(360) 794-7497 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Tye Emergency Physicians Pllc NPPES

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

LAKE TYE EMERGENCY PHYSICIANS PLLC (NPI 1467880518) is a healthcare organization registered as an emergency medicine in Monroe, Washington and active in the NPI registry since October 2013. The organization lists Charles Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1467880518

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameLAKE TYE EMERGENCY PHYSICIANS PLLC

Location Address14701 179TH AVE SEMonroe, WA 98272-1108

Mailing Address13737 Noel Rd, Ste 1600Dallas, TX 75240-1331 · (469) 401-2386

Phone(360) 794-7497

Organization SubpartNo

Authorized OfficialCharles MitchellPresident · (469) 401-2386

Enumeration DateOctober 29, 2013

✔ NPI 1467880518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

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.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

14701 179TH AVE SE, Monroe, WA 98272

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

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

QUINN WICKS M.D.

Emergency Medicine