ENTPSA PUYALLUP ASC (NPI# 1316175094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316175094 |
| Entity Type | Organization |
| Organization Name | ENTPSA PUYALLUP ASC |
| Practice Address |
1609 S Meridian Puyallup WA 98371-7517 |
| Mailing Address |
310 6th St Ne Auburn WA 98002-4342 |
| Practice Telephone | 2538336241 |
| Practice Fax Number | 2538334113 |
| Mailing Telephone | 2538336241 |
| Mailing Fax Number | 2538334113 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | DR. CHRISTINE M PUIG (PRESIDENT) |
| Authorized Official Telephone | 2538336241 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | 3535EN | 01 |
| WA | 7133671 | 05 |
| Street Address |
1609 S MERIDIAN |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-7517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679545875 | William Sterling Duke | Otolaryngology | 1609 S Meridian, Puyallup, WA 98371 | 2006-02-02 |
| 1104151562 | Ear Nose Throat & Plastic Surgery Associates of The South Sound Ps | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104151562 | Ear Nose Throat & Plastic Surgery Associates of The South Sound Ps | Clinic/Center | 1609 S Meridian, Puyallup, WA 98371-7517 | 2009-10-02 |
| 1982853271 | Western Washington Endoscopy Centers LLC | Clinic/Center | 11216 Sunrise Blvd E, Suite 201, Bldg 3, Puyallup, WA 98374-8848 | 2008-09-11 |
| 1699817346 | Cascade Eye & Skin Centers PC | Clinic/Center | 1703 S Meridian, Suite 101, Puyallup, WA 98371-7590 | 2007-02-12 |
| 1215082557 | Auburn Outpatient Surgery Center, LLC | Clinic/Center | 208 17th Ave Se, Suite 202, Puyallup, WA 98372-4515 | 2007-01-25 |
| 1083622112 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 1519 3rd St Se, Suite 240, Puyallup, WA 98372-3742 | 2006-08-04 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1972565745 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 210, Puyallup, WA 98374-2106 | 2006-04-05 |
| 1790744175 | Western Washington Endoscopy Centers LLC | Clinic/Center | 1703 S Meridian, Suite 203, Puyallup, WA 98371-7590 | 2006-03-22 |
| 1275510141 | Neospine Puyallup Spine Center, LLC | Clinic/Center | 1519 3rd St Se, Suite 102, Puyallup, WA 98372-3742 | 2005-12-30 |
| 1841286101 | Good Samaritan Surgery Center LLC | Clinic/Center | 1322 3rd St Se, 100, Puyallup, WA 98372-3771 | 2005-09-22 |
| Find all providers in PUYALLUP | ||||
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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.