Organization Active NPI

Ear, Nose and Throat Associates of Tacoma, PS

  • Specialist
  • Lakewood, WA
National Provider Identifier
1144403007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EAR, NOSE AND THROAT ASSOCIATES OF TACOMA, PS
Practice address
7424 Bridgeport Way W
#305
Lakewood, WA 98499-8120
Phone
(253) 582-3377
Fax
(253) 582-5938
NPI assigned
Dec 13, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Renae Jean Yager
Title
Bookkeeper
Phone
(253) 582-3377

Specialties & licenses 1

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

Addresses

Primary practice location

7424 Bridgeport Way W
#305
Lakewood, WA 98499-8120

Mailing address

7424 Bridgeport Way W
#305
Lakewood, WA 98499-8120
Phone (253) 582-3377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144403007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W",
            "address_2": "#305",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998120",
            "telephone_number": "253-582-3377",
            "fax_number": "253-582-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W",
            "address_2": "#305",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998120",
            "telephone_number": "253-582-3377",
            "fax_number": "253-582-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE AND THROAT ASSOCIATES OF TACOMA, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YAGER",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "253-582-3377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.