Active NPI
Laura Lynn Hershkowitz, D.O.
- Clinical Neurophysiology Physician
- Tacoma, WA
National Provider Identifier
1144225780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- OP60100685
- Practice address
- 316 Martin Luther King Jr Way
#408
Tacoma, WA 98405-4252 - Phone
- (253) 403-0344
- NPI assigned
- Jun 20, 2005
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | OS010193L | PA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | OP60100685 | WA | |
| Neurology Physician | 2084N0400X | OP60100685 | WA | |
| Neurological Surgery Physician | 207T00000X | OP60100685 | WA | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | OP60100685 | WA | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | OP60100685 | WA | |
| Geriatric Psychiatry Physician | 2084P0805X | OP60100685 | WA | |
| Clinical Neurophysiology Physician | 2084N0600X | OP60100685 | WA | Primary |
| Neurodevelopmental Disabilities Physician | 2084P0005X | OP60100685 | WA | |
| Psychiatry Physician | 2084P0800X | OP60100685 | WA | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OP60100685 | WA | |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | OPO60100685 | WA | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | OP60100685 | WA |
Addresses
Primary practice location
316 Martin Luther King Jr Way
#408
Tacoma, WA 98405-4252
Mailing address
316 Martin Luther King Jr Way
#408
Tacoma, WA 98405-4252
Phone (253) 403-0344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017328760003 | Medicaid | PA | |
| 130022760 | Other | PA | RAILROAD MEDICARE IND# |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPO60100685 | WA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| OP60100685 | WA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1144225780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MARTIN LUTHER KING JR WAY",
"address_2": "#408",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054252",
"telephone_number": "253-403-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 MARTIN LUTHER KING JR WAY",
"address_2": "#408",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054252",
"telephone_number": "253-403-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHKOWITZ",
"first_name": "LAURA",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PA",
"license": "OS010193L",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "WA",
"license": "OP60100685",
"primary": true
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WA",
"license": "OP60100685",
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "WA",
"license": "OPO60100685",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "WA",
"license": "OP60100685",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017328760003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE IND#",
"identifier": "130022760",
"state": "PA"
}
],
"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 22, 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.