NPIMap

Individual provider Active NPI

Vaughn Theodore Howe, P.A.

  • Medical Physician Assistant
  • Bremerton, WA
National Provider Identifier
1235256272
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60905259 Issued in WA
Practice address
2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208
Phone
(360) 415-9110
Fax
(360) 733-8320
NPI assigned
Mar 23, 2007
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2687 AZ
Medical Physician Assistant 363AM0700X PA60905259 WA Primary

Addresses

Primary practice location

2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208

Mailing address

20280 N 59TH Ave
Ste 115-617
Glendale, AZ 85308-6850
Phone (602) 795-8700

Other identifiers 2

IdentifierTypeStateIssuer
PA60905259OtherWAWA LICENSE
2687OtherAZAZ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315000247 WA Practitioner - Physician Assistant 7416936786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

11306 Bridgeport Way SW
Lakewood, WA 98499-3037
Phone (253) 983-9390

4029 Northwest Ave
Bellingham, WA 98226-9077

9220 Ridgetop Blvd NW
Silverdale, WA 98383-8583
Phone (360) 415-9110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.86 of 100Reported as group
Quality
61.97
Promoting interoperability
67
Improvement activities
40
Cost
71.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2687AZMDGeneral Practice Dentistry
PA60905259WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance CurrentSince Dec 1, 2018 Accepting new patients
Sound Pain Alliance Current Accepting new patients
Sound Pain Alliance CurrentSince Dec 1, 2018 Accepting new patients
Sound Pain Alliance Past Accepting new patients

Locations

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

2601 Cherry Ave
Ste 200
Bremerton, WA 98310
Phone (360) 415-9110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1235256272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE",
            "address_2": "STE 115-617",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "602-795-8700",
            "fax_number": "602-795-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 200",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "360-415-9110",
            "fax_number": "360-733-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWE",
        "first_name": "VAUGHN",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2687",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60905259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE",
            "identifier": "PA60905259",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "2687",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.