Abria Breast Center PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

603023906 Issued in WA

Legal business name

ABRIA BREAST CENTER PLLC

Practice address

10317 122ND St E
Suite a
Puyallup, WA 98374-2632

Phone

(253) 426-3107

Fax

(253) 840-6810

NPI assigned

Oct 23, 2011

Organization subpart

No

Name

Dr. Erica Y Scott, MD

Title

Owner

Phone

(253) 426-3148

Locations

• Abria Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2011.

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1205112281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E 72ND ST",
            "address_2": "SUITE 700-447",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045455",
            "telephone_number": "253-426-3107",
            "fax_number": "253-840-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "253-426-3107",
            "fax_number": "253-840-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRIA BREAST CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-426-3148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "603023906",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "603023906",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "603023906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abria Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Puyallup, WA
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.