Mt Rainier Surgical Associates

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MT RAINIER SURGICAL ASSOCIATES

Practice address

419 S L St Ste 101
Tacoma, WA 98405-3799

Phone

(253) 383-5949

Fax

(253) 383-5953

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theresa M Terem, M.D.NPI 1417020496

Title

Medical Director

Phone

(253) 383-5949

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa M Terem, MD

  • Surgery Physician
  • Tacoma, WA
  • NPI 1417020496
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033277694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S L ST STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053799",
            "telephone_number": "253-383-5949",
            "fax_number": "253-383-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S L ST STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053799",
            "telephone_number": "253-383-5949",
            "fax_number": "253-383-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT RAINIER SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEREM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-383-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "42060",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004633",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "C03182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornelia R. Moynihan, N.D., L.AC.
• Michael Moynihan, D.O.
• Carolina Mozo-Riggs, DNP, ARNP, FNP-C
• Jamie Stotts Mraz, DPT
• Matthew V Mruk
• Mt. Tahoma Psychological Services, PLLC
• Mti Physical Therapy Tacoma
• Kayla Muche
• Parvathi Mudigonda, MD
• Clara Anneliese Muenchow, BS

• Medical Specialty Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.