Active NPI
Public Hospital District #1 of King County
- Neuromusculoskeletal Medicine & OMM Physician
- Renton, WA
National Provider Identifier
1003857665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- Legal business name
- PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
- Practice address
- 3915 Talbot Rd S
Ste 104
Renton, WA 98055-5738 - Phone
- (425) 656-4566
- Fax
- (425) 656-5567
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Farley, CPC
- Title
- Technical Coordinator
- Phone
- (425) 917-6282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | Primary |
Addresses
Primary practice location
3915 Talbot Rd S
Ste 104
Renton, WA 98055-5738
Mailing address
3600 Lind Ave SW
Suite 100
Renton, WA 98055-4934
Phone (425) 656-5412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7060353 | Medicaid | WA |
Other names 1
- VMC Neurology Health Services
National Provider Directory
National Provider DirectoryLocations
3915 Talbot Rd S
Ste 104
Renton, WA 98055
Phone (425) 656-5566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1003857665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980554934",
"telephone_number": "425-656-5412",
"fax_number": "425-656-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S",
"address_2": "STE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-656-4566",
"fax_number": "425-656-5567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "TECHNICAL COORDINATOR",
"authorized_official_telephone_number": "425-917-6282",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7060353",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VMC Neurology Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Renton, WA
- Proliance Surgeons, Inc., P.S.
- Proliance Surgery Center at Valley, LLC
- Robert F Prongay, MD
- Provascular Surgery Associates PLLC
- Providence Health & Services - Washington
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.