Active NPI
Douglas R. King
- Surgery Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00023020
- Practice address
- 1519 3Rd St SE
Ste 230
Puyallup, WA 98372-3742 - Phone
- (253) 841-9640
- Fax
- (253) 841-7645
- NPI assigned
- Jul 18, 2006
- Last updated
- Dec 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00023020 | WA | Primary |
Addresses
Primary practice location
1519 3Rd St SE
Ste 230
Puyallup, WA 98372-3742
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
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
1408 3rd St SE
Ste 150
Puyallup, WA 98372
Phone (253) 841-9640
1519 3rd St SE
Ste 210
Puyallup, WA 98372
Phone (252) 840-4994
1519 3rd St SE
Ste 230
Puyallup, WA 98372
Phone (253) 697-7100
1519 3rd St SE
Ste 240
Puyallup, WA 98372
Phone (253) 840-4994
3801 5th St SE
Ste 110
Puyallup, WA 98374
Phone (253) 845-9585
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- dkingmd6658@direct.multicare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Cardiovascular Disease Physician
- Everett, WA
- NPI 1164185765
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Ear Nose Throat and Allergy Associates
- Otolaryngology Physician
- Puyallup, WA
- NPI 1407223985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1184643611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 3RD ST SE",
"address_2": "STE 230",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723742",
"telephone_number": "253-841-9640",
"fax_number": "253-841-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DOUGLAS",
"middle_name": "R.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00023020",
"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 Dec 30, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.