Active NPI
Tonya Harris, D.O.
- Geriatric Medicine (Family Medicine) Physician
- Puyallup, WA
National Provider Identifier
1003254442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- OP60781742
- Practice address
- 3705 S Meridian Ste B
Puyallup, WA 98373-3709 - Phone
- (253) 765-5050
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OP60781742 | WA | Primary |
Addresses
Primary practice location
3705 S Meridian Ste B
Puyallup, WA 98373-3709
Mailing address
3705 S Meridian Ste B
Puyallup, WA 98373-3709
Phone (253) 765-5050
Other practice location 1
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Massachusetts, P.C. | Past | Accepting new patients | |
| Iora Health, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba One Medical
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
dba One Medical at Dartmouth
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1003254442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 S MERIDIAN STE B",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733709",
"telephone_number": "253-765-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 S MERIDIAN STE B",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733709",
"telephone_number": "253-765-5050"
}
],
"practiceLocations": [
{
"address_1": "1200 Old York Rd",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190013720",
"country_code": "US",
"telephone_number": "215-481-4350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "TONYA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WA",
"license": "OP60781742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.