Active NPI
Paul Joseph Nuccio, MD
- Internal Medicine Physician
- Lakewood, WA
National Provider Identifier
1225125883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00013080
- Practice address
- Veterans Drive
Lakewood, WA 98493-5000 - Phone
- (253) 583-1135
- Fax
- (253) 589-7074
- NPI assigned
- Oct 6, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00013080 | WA | Primary |
Addresses
Primary practice location
Veterans Drive
Lakewood, WA 98493-5000
Mailing address
9928 75 St SW
Lakewood, WA 98498-3345
Phone (253) 582-0952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00013080 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225125883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9928 75 ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984983345",
"telephone_number": "253-582-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VETERANS DRIVE",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984935000",
"telephone_number": "253-583-1135",
"fax_number": "253-589-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCCIO",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00013080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
- Northwest Pain Relief Centers LLC
- Northwest Physicians Medical Group, PLLC (Physican Care NW)
- Casie Dee Norton
- April Novotny-Cardenas, LICSW
- Nicole Michele Nowak, BSP
- Dorothy Numkena, LMP
- Kathleen Nunes, BA
- Nurani, Mitchell, Kim, PC (BRIGHTNOW DENTAL - Lakewood)
- Venkat Pridhvi Nutalapati, MBBS
- Paul Stanely Nutting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.