Ear Nose Throat & Plastic Surgery Associates of the South Sound PS

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASFFS60101770 Issued in WA

Legal business name

EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS

Practice address

1609 S Meridian
Puyallup, WA 98371-7517

Phone

(253) 833-6241

Fax

(253) 833-4113

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christine M Puig, MDNPI 1194834861

Title

President

Phone

(253) 833-6241

Specialties & licenses 1

Addresses

Other names 1

• ENTPSA of the South Sound Puyallup ASC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Puig, MD

  • Otolaryngology Physician
  • Auburn, WA
  • NPI 1194834861
  NPD (past) Authorized official

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1104151562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 6TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024342",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717517",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-833-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASFFS60101770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENTPSA of the South Sound Puyallup ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Elizabeth Dutton, OT
• Kerry Duvent
• Colin Christopher Dyer, PHARMD
• Elissa Jeane Dykman, O.T.
• Sheridan A Ealey
• Ear, Nose, Throat & Allergy Assoicaties PS
• Ear,Nose,Throat & Allergy Associates PS
• Ear,Nose,Throat &Allergy Associates PS
• Stacy Marie Earl, COTA/L
• Kevin Michael Earle, DC, CCEP

• Ambulatory Surgical Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.