NPIMap

Individual provider Active NPI

Michelle Margaret Hanway Thurman, MD

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1174562664
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00042314 Issued in WA
Practice address
16515 Meridian E
Suite 104a
Puyallup, WA 98375-6251
Phone
(253) 697-3030
Fax
(253) 697-8190
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00042314 WA Primary

Addresses

Primary practice location

16515 Meridian E
Suite 104a
Puyallup, WA 98375-6251

Mailing address

PO Box 40
Puyallup, WA 98371-0137
Phone (253) 697-5502

Other identifiers 6

IdentifierTypeStateIssuer
7247466OtherWAAETNA PROVIDER NUMBER
8374175MedicaidWA
98375B014OtherWATRICARE PROVIDER NUMBER
911203494AAOtherWAKPS PROVIDER NUMBER
1896THOtherWAREGENCE RIDER NUMBER
0171135OtherWAL & I PROVIDER NUMBER

Other names 1

  • Michelle Margaret Hanway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000067 WA Practitioner - Family Practice 6204843774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

202 Cross St SE
Auburn, WA 98002-5406
Phone (253) 876-8190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jan 1, 2008 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2008 Accepting new patients
Multicare Health System Family Medicine Past Accepting new patients
Good Samaritan Community Healthcare Family Medicine Past Accepting new patients

Locations

202 Cross St SE
Auburn, WA 98002
Phone (253) 680-6000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

16515 Meridian E
Ste 104A
South Hill, WA 98375
Phone (253) 697-3030

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

Interoperability endpoints

  • Direct secure messaging: mthurmanmd6323@direct.multicare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1174562664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983710137",
            "telephone_number": "253-697-5502",
            "fax_number": "253-697-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E",
            "address_2": "SUITE 104A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756251",
            "telephone_number": "253-697-3030",
            "fax_number": "253-697-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "MICHELLE",
        "middle_name": "MARGARET HANWAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7247466",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8374175",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "98375B014",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KPS PROVIDER NUMBER",
            "identifier": "911203494AA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "1896TH",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "0171135",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HANWAY",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.