LEYTON ENDICOTT JUMP NPI 1851357008

NPI Information

NPI: 1851357008
Provider Name: LEYTON ENDICOTT JUMP

Doing Business As: TENINO FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
273 SUSSEX AVE E
TENINO, WA
ZIP 98589
Phone: (360) 264-5665
Get Directions

LEYTON ENDICOTT JUMP is a family medicine in Tenino, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEYTON ENDICOTT JUMP NPI is 1851357008. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tenino Family Practice.

The provider's business location address is:

273 SUSSEX AVE E
TENINO, WA
ZIP 98589-359
Phone: (360) 264-5665
Fax: (360) 264-5666

The provider's authorized official is Leyton Endicott Jump .
The authorized official title is Owner and has the following contact phone number (360) 264-5665.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 6/4/2013.

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	207Q00000X	Family Medicine		MD00022762	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	7102478	MEDICAID	WASHINGTON
2	122559	OTHER	WASHINGTON	LABOR & INDUSTRIES
3	503857	MEDICARE ID-TYPE UNSPECIFIED		RURAL HEALTH CLINIC
4	G8856180	MEDICARE PIN	WASHINGTON

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

NPI Synchronization or Removal

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