MEDICARE: ARTHUR RAYMOND KNODEL 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	207R00000X	Internal Medicine Physician	MD00020126	WA
2	207RP1001X	Pulmonary Disease Physician	MD00020126	WA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD00020126	WA
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD00020126	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	290001644	OTHER	WA	RR MEDICARE

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	:	1619960523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR RAYMOND KNODEL MD

Provider Business Mailing Address
First Line	:	316 MARTIN LUTHER KING JR WAY
Second Line	:	SUITE 401
City	:	TACOMA
State	:	WA
Zip	:	98405-4252
Country	:	US
Telephone Number	:	253-572-5140
Fax Number	:	253-272-0419

Provider Business Practice Location Address
First Line	:	316 MARTIN LUTHER KING JR WAY
Second Line	:	SUITE 401
City	:	TACOMA
State	:	WA
Zip	:	98405-4252
Country	:	US
Telephone Number	:	253-572-5140
Fax Number	:	253-272-0419

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	12/16/2011

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