Organization Active NPI

Puget Sound Hearing and Balance

  • Otolaryngology Physician
National Provider Identifier
1114189743
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD27287 Issued in WA
Legal business name
PUGET SOUND HEARING AND BALANCE
Practice address
9714 3Rd Ave NE
Suite 100
Seattle, USA 98115
UM
Phone
(206) 523-5584
Fax
(206) 523-5882
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Sandy Arthalony
Title
Biller
Phone
(425) 204-6958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD27287 WA Primary

Addresses

Primary practice location

9714 3Rd Ave NE
Suite 100
Seattle, USA 98115
UM

Mailing address

PO Box 59325
Renton, WA 98058-2325
Phone (425) 204-6958

Other identifiers 1

IdentifierTypeStateIssuer
1108562MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1114189743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59325",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980582325",
            "telephone_number": "425-204-6958",
            "fax_number": "206-523-5882"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "9714 3RD AVE NE",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "USA",
            "postal_code": "98115",
            "telephone_number": "206-523-5584",
            "fax_number": "206-523-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND HEARING AND BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "ARTHALONY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "425-204-6958"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD27287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108562",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.