Organization Active NPI

Arunacha PS

  • Anesthesiology Physician
  • Gig Harbor, WA
National Provider Identifier
1093066334
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ARUNACHA PS
Practice address
3118 Judson St Unit 1141
Gig Harbor, WA 98335-9253
Phone
(855) 621-8250
Fax
(253) 292-2090
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Paul M Doepfner, M.D.NPI 1689684649
Title
Owner/Provider
Phone
(360) 420-2181

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3118 Judson St Unit 1141
Gig Harbor, WA 98335-9253

Mailing address

3118 Judson St Unit 1141
Gig Harbor, WA 98335-9253
Phone (855) 621-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150818004995 WA Part B Supplier - Clinic/Group Practice 8729393855 Receives reassigned benefits from 1 practitioner
Practice locations: Kent, WA

National Provider Directory

National Provider Directory

Locations

3118 Judson St
Unit 1141
Gig Harbor, WA 98335

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1093066334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 JUDSON ST UNIT 1141",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983359253",
            "telephone_number": "855-621-8250",
            "fax_number": "253-292-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 JUDSON ST UNIT 1141",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983359253",
            "telephone_number": "855-621-8250",
            "fax_number": "253-292-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNACHA PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "DOEPFNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-420-2181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.