Active NPI
Deborah J Ayars, MD
- Pediatric Adolescent Medicine Physician
- Tacoma, WA
National Provider Identifier
1164508792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD00026169
- Practice address
- 1901 S Union Ave Ste B1010
Tacoma, WA 98405-1801 - Phone
- (253) 572-5971
- Fax
- (253) 572-5987
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD00026169 | WA | Primary |
Addresses
Primary practice location
1901 S Union Ave Ste B1010
Tacoma, WA 98405-1801
Mailing address
1901 S Union Ave Ste B1010
Tacoma, WA 98405-1801
Phone (253) 572-5971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1087329 | Medicaid | WA | |
| EV6110 | Other | WA | REGENCE BLUESHIELD |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00026169 | WA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah J Ayars MD | Adolescent Medicine | 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.
-
- Pediatric Adolescent Medicine Physician
- Tacoma, WA
- NPI 1992881510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164508792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S UNION AVE STE B1010",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051801",
"telephone_number": "253-572-5971",
"fax_number": "253-572-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S UNION AVE STE B1010",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051801",
"telephone_number": "253-572-5971",
"fax_number": "253-572-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYARS",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WA",
"license": "MD00026169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1087329",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "EV6110",
"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 Jul 8, 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.