Active NPI
Philip R. Yearian DPM PS
- Foot & Ankle Surgery Podiatrist
- Tacoma, WA
National Provider Identifier
1033382064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PHILIP R. YEARIAN DPM PS
- Practice address
- 2420 S Union Ave
Ste 300
Tacoma, WA 98405-1322 - Phone
- (253) 756-0888
- Fax
- (253) 752-1704
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 10, 2008
- 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
- Dr. Philip R. Yearian, DPM
- Title
- President
- Phone
- (253) 756-0888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | WA | Primary |
Addresses
Primary practice location
2420 S Union Ave
Ste 300
Tacoma, WA 98405-1322
Mailing address
2420 S Union Ave
Ste 300
Tacoma, WA 98405-1322
Phone (253) 756-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1121169 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
450 S Kitsap Blvd
Ste 1200
Port Orchard, WA 98366
Phone (360) 895-1767
Practitioners & affiliated clinicians
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.
-
- Podiatrist
- Lakewood, WA
- NPI 1255307807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1033382064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 S UNION AVE",
"address_2": "STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051322",
"telephone_number": "253-756-0888",
"fax_number": "253-752-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 S UNION AVE",
"address_2": "STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051322",
"telephone_number": "253-756-0888",
"fax_number": "253-752-1704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP R. YEARIAN DPM PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "YEARIAN",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-756-0888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1121169",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Phebe Brako-Owusu, LMFT, PLLC (253 Therapy and Consult)
- Jillian Franklin Phelps, M.D.
- Phenomenal You Psychiatry & Coaching PLLC
- Caroline Kinnear Philbrick, CTRS
- Lisa M Philichi, ARNP
- Phill-Wright LLC (Phill-Wright Wellness)
- Phillips Dentistry, PS. (Distinctive Dentistry)
- Judy Phillips
- Katherine Phillips, MN, RN
- Keith Martin Phillips, D.M.D., M.S.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.