NPIMap

Organization Active NPI

Deer Park Urgent Care PLLC

Doing business as Deer Park Urgent Care

  • Urgent Care Clinic/Center
  • Deer Park, WA
National Provider Identifier
1093741076
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DEER PARK URGENT CARE PLLC
Doing business as
Deer Park Urgent Care
Practice address
702 South Park
Deer Park, WA 99006
Phone
(509) 262-9000
Fax
(509) 276-3034
NPI assigned
Jun 23, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Julie A Moran, M.D.NPI 1558367961
Title
Owner/Practicioner
Phone
(509) 276-5005

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

702 South Park
Deer Park, WA 99006

Mailing address

PO Box 340
Deer Park, WA 99006-0340
Phone (509) 262-9000

Other identifiers 1

IdentifierTypeStateIssuer
7135437MedicaidWA

Other names 1

  • Deer Park Urgent Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1093741076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990060340",
            "telephone_number": "509-262-9000",
            "fax_number": "509-276-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SOUTH PARK",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "99006",
            "telephone_number": "509-262-9000",
            "fax_number": "509-276-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRACTICIONER",
        "authorized_official_telephone_number": "509-276-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135437",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Park Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.