Individual provider Active NPI

Bonnie J Takasugi, MD

  • Hematology & Oncology Physician
  • Burien, WA
National Provider Identifier
1093753535
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD00024354 Issued in WA
Practice address
16233 Sylvester Rd SW
Suite 110
Burien, WA 98166-3045
Phone
(206) 241-2622
Fax
(206) 241-4429
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD00024354 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW
Suite 110
Burien, WA 98166-3045

Mailing address

PO Box 34936
Dept # 5006
Seattle, WA 98124-1936
Phone (206) 439-2988

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

LicenseStateTypeSpecialty
MD00024354WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Medical Group Past Accepting new patients
Highline Medical Group Inc Hematology & Oncology 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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1093753535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34936",
            "address_2": "DEPT # 5006",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241936",
            "telephone_number": "206-439-2988",
            "fax_number": "206-431-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-241-2622",
            "fax_number": "206-241-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKASUGI",
        "first_name": "BONNIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00024354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.