Organization Active NPI

Puget Sound Allergy Asthma and Immunology

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Federal Way, WA
National Provider Identifier
1205960226
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
MD00026151 Issued in WA
Legal business name
PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY
Practice address
34509 9TH Ave S
Suite 207
Federal Way, WA 98003-6700
Phone
(253) 662-5667
Fax
(253) 627-4296
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Mrs. Becky Markward
Title
Office Manager
Phone
(235) 383-4721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KI0005X MD00026151 WA Primary

Addresses

Primary practice location

34509 9TH Ave S
Suite 207
Federal Way, WA 98003-6700

Mailing address

1901 S Union Ave
Suite B6010
Tacoma, WA 98405-1702
Phone (253) 383-4721

Other identifiers 1

IdentifierTypeStateIssuer
7112261MedicaidWA

National Provider Directory

National Provider Directory

Locations

200 Auburn Ave
Auburn, WA 98002
Phone (253) 833-1986

34509 9th Ave S
Ste 203A
Federal Way, WA 98003
Phone (233) 661-9853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1205960226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B6010",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-383-4721",
            "fax_number": "253-627-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S",
            "address_2": "SUITE 207",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036700",
            "telephone_number": "253-662-5667",
            "fax_number": "253-627-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "MARKWARD",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "235-383-4721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "WA",
            "license": "MD00026151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112261",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

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