Active NPI
Pierre John Soffe, M.D.
- Family Medicine Physician
- Medical Lake, WA
National Provider Identifier
1073683454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00037953
- Practice address
- 850 Maple Street
Medical Lake, WA 99022-0800 - Phone
- (509) 565-4000
- Fax
- (509) 565-7015
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | MD00037953 | WA | |
| Family Medicine Physician | 207Q00000X | MD00037953 | WA | Primary |
Addresses
Primary practice location
850 Maple Street
Medical Lake, WA 99022-0800
Mailing address
PO Box 800
850 Maple Street
Medical Lake, WA 99022-0800
Phone (509) 565-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8247744 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00037953 | WA | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern State Hospital Pharmacy | Past | Accepting new patients | |
| Hospice of Spokane | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Medical Lake, WA
- NPI 1679651970
-
dba Spokane Palliative Care & Mobile Medicine of Spokane
- Community Based Hospice Care Agency
- Spokane, WA
- NPI 1760475255
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1073683454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800",
"address_2": "850 MAPLE STREET",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220800",
"telephone_number": "509-565-4000",
"fax_number": "509-565-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 MAPLE STREET",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990220800",
"telephone_number": "509-565-4000",
"fax_number": "509-565-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFFE",
"first_name": "PIERRE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "WA",
"license": "MD00037953",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00037953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8247744",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medical Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.