Provider Demographics
NPI:1003032350
Name:COBLE, TINSLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:TINSLEY
Middle Name:
Last Name:COBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 38TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-3134
Mailing Address - Country:US
Mailing Address - Phone:206-328-7555
Mailing Address - Fax:
Practice Address - Street 1:1550 N 115TH STREET
Practice Address - Street 2:NORTHWEST HOSPITAL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-368-1849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035174208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1000047Medicaid
WA110242705OtherRAIL ROAD MEDICARE
WA110242705OtherRAIL ROAD MEDICARE
WA8235210Medicaid
WA8859426Medicare PIN