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

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: July 19, 2026.

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
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

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

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.

Internal Medicine
14701 179TH AVE SE
MONROE, WA 98272
Anesthesiology
14701 179TH AVE SE
MONROE, WA 98272
Emergency Medicine (Emergency Medical Services)
14701 179TH AVE SE
MONROE, WA 98272
Specialist
14701 179TH AVE SE, VALLEY GENERAL HOSPITAL
MONROE, WA 98272
Psychiatric Unit
14701 179TH AVE SE
MONROE, WA 98272
Dietitian, Registered
14701 179TH AVE SE
MONROE, WA 98272
Clinic/Center
14701 179TH AVE SE
MONROE, WA 98272
Pediatrics (Adolescent Medicine)
14701 179TH AVE SE
MONROE, WA 98272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467880518, enumerated as an "organization" on October 29, 2013.

The provider is located at 14701 179TH AVE SE MONROE, WA 98272 and the phone number is (360) 794-7497.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.