Organization Active NPI

Patricia a Charochak, D.O. P.S

  • Medical Specialty Clinic/Center
  • Puyallup, WA
National Provider Identifier
1174895486
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OP00000826 Issued in WA
Legal business name
PATRICIA A CHAROCHAK, D.O. P.S
Practice address
8112 112TH Street CT E
Puyallup, WA 98373-7815
Phone
(253) 848-5555
Fax
(253) 848-5922
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Patricia A Charochak, DO
Title
Doctor
Phone
(253) 848-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OP00000826 WA Primary

Addresses

Primary practice location

8112 112TH Street CT E
Puyallup, WA 98373-7815

Mailing address

8112 112TH Street CT E
Puyallup, WA 98373-7815
Phone (253) 848-5555

National Provider Directory

National Provider Directory

Locations

8112 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-5555

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1174895486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 112TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737815",
            "telephone_number": "253-848-5555",
            "fax_number": "253-848-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 112TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737815",
            "telephone_number": "253-848-5555",
            "fax_number": "253-848-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A CHAROCHAK, D.O. P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "CHAROCHAK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-848-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "OP00000826",
            "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 1, 2012; 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.