Organization Active NPI

Stanton a Erwin MD PS

  • Otolaryngology Physician
  • Tacoma, WA
National Provider Identifier
1194000844
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD00028363 Issued in WA
Legal business name
STANTON A ERWIN MD PS
Practice address
316 Martin Luther King Jr Way Ste 305
Tacoma, WA 98405-4260
Phone
(253) 428-0205
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Stanton A Erwin, M.D.
Title
President
Phone
(253) 428-0205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD00028363 WA Primary

Addresses

Primary practice location

316 Martin Luther King Jr Way Ste 305
Tacoma, WA 98405-4260

Mailing address

316 Martin Luther King Jr Way Ste 305
Tacoma, WA 98405-4260

Other identifiers 1

IdentifierTypeStateIssuer
1064583MedicaidWA

National Provider Directory

National Provider Directory

Locations

316 Martin Luther King Jr Way
Ste 305
Tacoma, WA 98405
Phone (253) 403-0065

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1194000844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MARTIN LUTHER KING JR WAY STE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MARTIN LUTHER KING JR WAY STE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054260",
            "telephone_number": "253-428-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON A ERWIN MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-428-0205",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00028363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064583",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.