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PUGET SOUND SPECIALTY PHYSICIANS PLLC NPI 1124203963


NPI Information

NPI: 1124203963
Provider Name: PUGET SOUND SPECIALTY PHYSICIANS PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2728 E MAIN AVE
SUITE A
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-2006
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PUGET SOUND SPECIALTY PHYSICIANS PLLC is a foot and ankle surgery podiatrist in Puyallup, WA. PUGET SOUND SPECIALTY PHYSICIANS PLLC NPI is 1124203963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2728 E MAIN AVE
SUITE A
PUYALLUP, WA
ZIP 98372-198
Phone: (253) 841-2006
Fax: (253) 840-6691

The provider's authorized official is Tina M Quevedo .
The authorized official title is Billing Supervisor and has the following contact phone number (253) 841-2006.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 6/14/2010.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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
14384630007MEDICARE NSCWASHINGTON
2AB25244MEDICARE PINWASHINGTON
3AB25245MEDICARE PINWASHINGTON
4AB25243MEDICARE PINWASHINGTON
5GAB25239MEDICARE PINWASHINGTON
64384630004MEDICARE NSCWASHINGTON
74384630006MEDICARE NSCWASHINGTON
8AB37681MEDICARE PINWASHINGTON
9AB37680MEDICARE PINWASHINGTON
104384630003MEDICARE NSCWASHINGTON
11GAB25234MEDICARE PINWASHINGTON
128855254MEDICARE PINWASHINGTON
137109770MEDICAIDWASHINGTON
14AB25238MEDICARE PINWASHINGTON
158855255MEDICARE PINWASHINGTON
16AB25236MEDICARE PINWASHINGTON

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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