Organization Active NPI

Phoebe F Ho MD, PLLC

  • Specialist
  • Tacoma, WA
National Provider Identifier
1124175385
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00038873 Issued in WA
Legal business name
PHOEBE F HO MD, PLLC
Practice address
3711 Pacific Ave Ste 100
Tacoma, WA 98418-7800
Phone
(253) 475-1885
Fax
(253) 472-8473
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mrs. Kim Olson
Title
Office Manager
Phone
(253) 475-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00038873 WA Primary

Addresses

Primary practice location

3711 Pacific Ave Ste 100
Tacoma, WA 98418-7800

Mailing address

3711 Pacific Ave Ste 100
Tacoma, WA 98418-7800
Phone (253) 475-1885

Other identifiers 1

IdentifierTypeStateIssuer
1116532MedicaidWA

National Provider Directory

National Provider Directory

Locations

3611 S D St
#19
Tacoma, WA 98418
Phone (253) 475-1885

3711 Pacific Ave
#100
Tacoma, WA 98418
Phone (253) 475-1885

2115 S 56th St
Ste 301
Tacoma, WA 98409
Phone (253) 471-3193

2115 S 56th St
Ste 103
Tacoma, WA 98409
Phone (253) 471-3193

Practitioners & affiliated clinicians

Practitioners 3

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1124175385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187800",
            "telephone_number": "253-475-1885",
            "fax_number": "253-472-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187800",
            "telephone_number": "253-475-1885",
            "fax_number": "253-472-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE F HO MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-475-1885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00038873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116532",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.