Peninsula Internal Medicine Associates PS

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

601201408 Issued in WA

Legal business name

PENINSULA INTERNAL MEDICINE ASSOCIATES PS

Practice address

4423 Point Fosdick Dr NW
Suite 200-a
Gig Harbor, WA 98335-1797

Phone

(253) 853-2702

Fax

(253) 853-2833

NPI assigned

Mar 2, 2006

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol MC Farland

Title

MGR

Phone

(253) 858-0783

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad Abadullah, MD

  • Internal Medicine Physician
  • University Place, WA
  • NPI 1225005721
  NPD (past)
• Paul D Schneider, M.D.

  • Internal Medicine Physician
  • Lakewood, WA
  • NPI 1821086208
  NPD (past)
• Abram Robert Thiessen, MD

  • Hematology & Oncology Physician
  • Tacoma, WA
  • NPI 1922029875

  Internal Medicine

  NPD (past)
• Raheela Sadiq, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1235106758
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1205803723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR NW",
            "address_2": "SUITE 200-A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351797",
            "telephone_number": "253-853-2702",
            "fax_number": "253-853-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR NW",
            "address_2": "SUITE 200-A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351797",
            "telephone_number": "253-853-2702",
            "fax_number": "253-853-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA INTERNAL MEDICINE ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "MC FARLAND",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "253-858-0783"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "601201408",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "601201408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109523",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Community Health Services
• Peninsula Counseling, LLC (Peninsula Counseling)
• Peninsula Dermatology & Laser Clinic PLLC
• Peninsula Family Medical Center
• Peninsula Hearing Tech (Peninsula Audiology and Hearing Aids)
• Peninsula Natural Health Clinic, Inc. (Peninsula Naturopathic Clinic)
• Peninsula Pediatric Therapy, LLC (Peninsula Pediatric Therapy)
• Peninsula Rad Onc Ctr LLC
• Peninsula School District
• Peninsula Structural Medicine (Inner Space Structural Medicine)

• Nephrology Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.