Eduardo Roberto Faytong, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60688816 Issued in WA

Practice address

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926

Phone

(253) 597-4550

Fax

(253) 722-1546

NPI assigned

Jan 31, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174594899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PACIFIC AVE STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024488",
            "telephone_number": "253-597-4550",
            "fax_number": "253-722-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053926",
            "telephone_number": "253-597-4550",
            "fax_number": "253-722-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYTONG",
        "first_name": "EDUARDO",
        "middle_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60688816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Fawcett
• Haley Nicole Fawns-Sim
• Patricia A Fawver, PHD
• Sarah Fay
• Fayetteville Dialysis
• Bilal Ahmed Fazal Mehmood, MD
• Heather Fazekas
• Marit Ann Featherstone, ARNP
• Olga A. Fedyuk, ARNP
• Lauren Elisabeth Fee, PHARMD

• Medical Physician Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Medical Physician Assistant in Washington

• 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.