Active NPI
Emmy Lissa Oh, MD
- Hospitalist Physician
- Gig Harbor, WA
National Provider Identifier
1104014471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD60069044
- Practice address
- 11567 Canterwood Blvd
Gig Harbor, WA 98332-5812 - Phone
- (253) 426-6341
- Fax
- (253) 759-4699
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60069044 | WA | |
| Hospitalist Physician | 208M00000X | MD60069044 | WA | Primary |
Addresses
Primary practice location
11567 Canterwood Blvd
Gig Harbor, WA 98332-5812
Mailing address
11567 Canterwood Blvd
Gig Harbor, WA 98332-5812
Phone (253) 426-6341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002545 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eoh175337@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341
Hospital & facility affiliations
- St Anthony Hospital
- St Clare Hospital
- St Michael Medical Center
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Internal Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Health System | Past | Accepting new patients |
Locations
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Interoperability endpoints
- eoh175337@fhsce.catholichealth.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1104014471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11567 CANTERWOOD BLVD",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325812",
"telephone_number": "253-426-6341",
"fax_number": "253-759-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11567 CANTERWOOD BLVD",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325812",
"telephone_number": "253-426-6341",
"fax_number": "253-759-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "EMMY",
"middle_name": "LISSA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60069044",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD60069044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002545",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eoh175337@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11567 Canterwood Blvd",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983325812",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.