MEDICARE: RICHARD ERNEST STANDAERT JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD60569917	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215995253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD ERNEST STANDAERT JR. MD

Provider Business Mailing Address
First Line	:	1802 YAKIMA AVE STE 104
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-5303
Country	:	US
Telephone Number	:	253-426-6739
Fax Number	:	253-835-5511

Provider Business Practice Location Address
First Line	:	1802 YAKIMA AVE STE 104
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-5303
Country	:	US
Telephone Number	:	253-426-6739
Fax Number	:	253-835-5511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	01/19/2024

Similar Medicare Providers

1396763140 — MR. JERRY J PAPSON PA-C
Practice Location Address:

1802 YAKIMA AVE STE 102
TACOMA, WA
98405-5303

Practice Phone: 253-272-7777
Practice Fax: 253-426-4142

1407848559 — MARK A SCHOMOGYI M.D.
Practice Location Address:

1802 YAKIMA AVE STE 104
TACOMA, WA
98405-5303

Practice Phone: 253-426-6739
Practice Fax:

1699746081 — HERBERT L WANG MD
Practice Location Address:

1802 YAKIMA AVE STE 103
TACOMA, WA
98405-5303

Practice Phone: 253-272-1077
Practice Fax: 253-627-8792

1679538847 — DR. TIMOTHY WATKINS JAMES M.D.
Practice Location Address:

1802 YAKIMA AVE STE 102
TACOMA, WA
98405-5303

Practice Phone: 253-272-7777
Practice Fax:

1720020043 — G. GILBERT JOHNSTON MD
Practice Location Address:

1802 YAKIMA AVE STE 102
TACOMA, WA
98405-5303

Practice Phone: 253-272-7777
Practice Fax: 253-426-4142

1881638112 — DOUGLAS C ROSSI PA-C
Practice Location Address:

1802 YAKIMA AVE STE 102
TACOMA, WA
98405-5303

Practice Phone: 253-272-7777
Practice Fax: 253-761-1040

Directions to “ RICHARD ERNEST STANDAERT JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.