Puget Sound Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD60036029 Issued in WA

Legal business name

PUGET SOUND RHEUMATOLOGY PLLC

Practice address

20700 Bond Rd NE
Suite 104
Poulsbo, WA 98370-9099

Phone

(360) 386-3897

Fax

(888) 640-2325

NPI assigned

May 1, 2012

Last updated

May 1, 2012By 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. Larry T Balentine, MD

Title

Provider/Owner

Phone

(253) 588-7911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1043578776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 BOND RD NE",
            "address_2": "SUITE 104",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709099",
            "telephone_number": "360-386-3897",
            "fax_number": "888-640-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "BALENTINE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-588-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD60036029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60036029",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vance Pryor
• Wandee Johnson Pryor, PSY.D.
• Youngoak Kim Pryor, ARNP
• PT Works
• Puget Sound Kidney Centers (Puget Sound Kidney Center-Poulsbo)
• Randal Scott Puhn, DDS
• Kim Kevin Pulver, DDS
• Quantum Leap Physical Therapy
• Amanda Qvigstad
• R Scott Puhn DDS PS

• Rheumatology Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Rheumatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.