NPIMap

Organization Active NPI

Gyft Clinic, PLLC

  • Gynecology Physician
  • Tacoma, WA
National Provider Identifier
1023073798
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
GYFT CLINIC, PLLC
Practice address
2201 South 19TH Street
Ste #101
Tacoma, WA 98405
Phone
(255) 475-5433
Fax
(253) 473-6715
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Z McLees, MD
Title
Managing Partner
Phone
(253) 475-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

2201 South 19TH Street
Ste #101
Tacoma, WA 98405

Mailing address

PO Box 8550
Tacoma, WA 98419-0550
Phone (253) 475-5433

Other identifiers 1

IdentifierTypeStateIssuer
7020613MedicaidWA

National Provider Directory

National Provider Directory

Locations

502 S M St
#200
Tacoma, WA 98405
Phone (206) 475-5433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1023073798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8550",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984190550",
            "telephone_number": "253-475-5433",
            "fax_number": "253-473-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SOUTH 19TH STREET",
            "address_2": "STE #101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "255-475-5433",
            "fax_number": "253-473-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYFT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "MCLEES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "253-475-5433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7020613",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.