Active NPI
Todd Dwyer Jones, M.D.
- Otolaryngology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD60459916
- Practice address
- 104 27TH Ave SE
Puyallup, WA 98374-1145 - Phone
- (253) 770-9000
- Fax
- (253) 770-9712
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301111482 | MI | |
| Otolaryngology Physician | 207Y00000X | MD60459916 | WA | Primary |
Addresses
Primary practice location
104 27TH Ave SE
Puyallup, WA 98374-1145
Mailing address
PO Box 1205
Puyallup, WA 98371-0231
Phone (253) 770-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 27TH Ave SE
Puyallup, WA 98374-1145
Phone (425) 775-6651
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301111482 | MI | MD | Otolaryngology Physician |
| MD60459916 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc PS | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Otolaryngology | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Otolaryngology | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
3801 5th St SE
Ste 110
Puyallup, WA 98374
Phone (253) 845-9585
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- tjones143526@epic00.shdirect.org
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Ambulatory Surgical Clinic/Center
- Puyallup, WA
- NPI 1780610220
-
- Otolaryngology Physician
- Puyallup, WA
- NPI 1407223985
-
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1174727010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1205",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710231",
"telephone_number": "253-770-9000",
"fax_number": "253-770-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 27TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983741145",
"telephone_number": "253-770-9000",
"fax_number": "253-770-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TODD",
"middle_name": "DWYER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301111482",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD60459916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.