South Sound Inpatient Physicians PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH SOUND INPATIENT PHYSICIANS PLLC

Practice address

1123 Pacific Ave
Tacoma, WA 98402-4303

Phone

(253) 682-1710

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

James Kodjababian, COO

Title

Coo

Phone

(253) 682-1710

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sound Inpatient Physicians Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1164537239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "FILE 31045",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024303",
            "telephone_number": "253-682-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND INPATIENT PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "KODJABABIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "253-682-1710",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278049",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108889",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Inpatient Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Danielle Sousa
• South Arkansas Dialysis
• South Puget Sound Healthcare System
• South Puget Sound Neurology, PLLC
• South Sound Eye Care
• South Sound Inpatient Physicians, PLLC
• South Sound Medical Clinic Inc
• South Sound Pediatric Occupational Therapy
• South Tacoma Chiropractic and Rehabilitation, PLLC
• South Tacoma Dental LLC

• Internal Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.