PENINSULA INTERNAL MEDICINE ASSOCIATES PS NPI 1205803723

NPI Information

NPI: 1205803723
Provider Name: PENINSULA INTERNAL MEDICINE ASSOCIATES PS
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4423 POINT FOSDICK DR NW
SUITE 200-A
GIG HARBOR, WA
ZIP 98335
Phone: (253) 853-2702
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PENINSULA INTERNAL MEDICINE ASSOCIATES PS is a nephrology internal medicine in Gig Harbor, WA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PENINSULA INTERNAL MEDICINE ASSOCIATES PS NPI is 1205803723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4423 POINT FOSDICK DR NW
SUITE 200-A
GIG HARBOR, WA
ZIP 98335-797
Phone: (253) 853-2702
Fax: (253) 853-2833

The provider's authorized official is Carol Mc Farland .
The authorized official title is Mgr and has the following contact phone number (253) 858-0783.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 7/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		601201408	WASHINGTON	No
2	207RN0300X	Internal Medicine	Nephrology	601201408	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	WASHINGTON	CIGNA INSURANCE
2	=========	OTHER	WASHINGTON	MOLINA
3	7109523	MEDICAID	WASHINGTON
4	=========	OTHER	WASHINGTON	REGENCE BLUE SHIELD
5	AB23221	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	MEDICARE PROVIDER NUMBER
6	=========	OTHER	WASHINGTON	RAILROAD MEDICARE
7	=========	OTHER	WASHINGTON	AETNA INSURANCES
8	=========	OTHER	WASHINGTON	WA LABOR &N INDUSTRIES
9	=========	OTHER	WASHINGTON	UNITED HEALTHCARE
10	=========	OTHER	WASHINGTON	UNIFORM MEDICAL PLAN
11	=========	OTHER	WASHINGTON	FIRST HEALTH
12	=========	OTHER	WASHINGTON	PACIFICARE/SECURE HORIZON
13	=========	OTHER	WASHINGTON	PRIVATE HEALTHCARE SYSTEM
14	=========	OTHER	WASHINGTON	GROUP HEALTH
15	=========	OTHER	WASHINGTON	KITSAP HEALTH PLANS
16	=========	OTHER	WASHINGTON	TRICARE
17	=========	OTHER	WASHINGTON	PREMERA
18	=========	OTHER	WASHINGTON	CHOICE CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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