NPIMap

Organization Active NPI

Puget Sound Family Physicians

  • Family Medicine Physician
  • Edmonds, WA
National Provider Identifier
1083643340
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PUGET SOUND FAMILY PHYSICIANS
Practice address
7315 212TH St SW
Suite 101
Edmonds, WA 98026-7610
Phone
(425) 775-9474
Fax
(425) 670-3554
NPI assigned
Jun 30, 2006
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Ms. Marcy Shimada
Title
Executive Director
Phone
(425) 670-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7315 212TH St SW
Suite 101
Edmonds, WA 98026-7610

Mailing address

7315 212TH St SW
Suite 101
Edmonds, WA 98026-7610
Phone (425) 775-9474

National Provider Directory

National Provider Directory

Locations

1602 Hewitt Ave
Ste 700
Everett, WA 98201

4225 Hoyt Ave
Everett, WA 98203
Phone (425) 258-3611

515 State St S
Kirkland, WA 98033
Phone (206) 827-9711

17311 135th Ave NE
Ste A700
Woodinville, WA 98072
Phone (425) 488-4944

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1083643340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-775-9474",
            "fax_number": "425-670-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-775-9474",
            "fax_number": "425-670-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "SHIMADA",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-670-3555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.