PUGET SOUND CENTER FOR INTEGRATED HEALTH LLC (NPI# 1275992752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275992752 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND CENTER FOR INTEGRATED HEALTH LLC |
| Practice Address |
2302 S Union Ave Suite C30 Tacoma WA 98405-1300 |
| Mailing Address |
Po Box 65695 University Place WA 98464-1695 |
| Practice Telephone | 2536512498 |
| Mailing Telephone | 2536512498 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | DR. ATIF M MIAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2536512498 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUGET SOUND CENTER FOR INTEGRATED HEALTH LLC | 5322 Orchard St W, University Place, WA 98467 |
| Street Address |
2302 S UNION AVE SUITE C30 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328300 | Alan F Altman | Dentist | 2302 S Union Ave, Suite A6, Tacoma, WA 98405-1300 | 2005-07-01 |
| 1558885210 | Sound Integrated Health LLC | Internal Medicine | 2302 S Union Ave, C30, Tacoma, WA 98405-1300 | 2017-08-02 |
| 1134597446 | Chad Smart Dds and Vincent O Kokich Jr Dmd Msd Pllc | Dentist | 2302 S Union Ave, Ste B-14, Tacoma, WA 98405-1300 | 2015-09-03 |
| 1629349253 | Ace Counseling | Community/Behavioral Health | 2302 S Union Ave, Suite C-29, Tacoma, WA 98405-1300 | 2012-01-12 |
| 1023347960 | Union Avenue Compounding Pharmacy | Prosthetic/Orthotic Supplier | 2302 S Union Ave, Tacoma, WA 98405-1300 | 2009-12-23 |
| 1194058669 | Huan Su | Dentist | 2302 S Union Ave, Building C Suite 22, Tacoma, WA 98405-1300 | 2009-09-15 |
| 1396937496 | Ronald Lo | Dentist | 2302 S Union Ave, Bldg B Ste 12, Tacoma, WA 98405-1300 | 2007-08-13 |
| 1326241993 | Honu Massage | Specialist | 2302 S Union Ave, C-30, Tacoma, WA 98405-1300 | 2007-06-08 |
| 1053531772 | Steven D Bradway | Dentist | 2302 S Union Ave, C21, Tacoma, WA 98405-1300 | 2007-04-26 |
| 1649490335 | Susan E Hagel-bradway | Dentist | 2302 S Union Ave, C21, Tacoma, WA 98405-1300 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373321 | Olympic Peninsula Health Services | Internal Medicine | 661 Ness Corner Rd, Port Hadlock, WA 98339-9410 | 2018-04-19 |
| 1144603853 | Vista Treatment Center | Internal Medicine | 6917 W Grandridge Blvd, Kennewick, WA 99336-7737 | 2015-06-30 |
| 1053357335 | Nicole M. Ingrisano | Internal Medicine | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2006-06-22 |
| 1255309035 | Wanjiku Njoroge | Internal Medicine | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.