Kenneth A. Feucht, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00029234 Issued in WA

Practice address

1519 3Rd St SE
Ste 230
Puyallup, WA 98372-3742

Phone

(253) 445-1844

Fax

(253) 841-9701

NPI assigned

Jul 12, 2006

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Proliance Surgeons, Inc., P.S.

  dba Puyallup Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Puyallup, WA
  • NPI 1083622112
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1245265727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MADISON ST",
            "address_2": "SUITE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041172",
            "telephone_number": "206-264-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE",
            "address_2": "STE 230",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-445-1844",
            "fax_number": "253-841-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUCHT",
        "first_name": "KENNETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00029234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Fellows, RPH
• Kaila Felton, PHARMD
• Christine Lynette Fernandez, LMP
• Cyril J Fernandez, PA-C
• Shanik J Fernando, MD
• Steven G Fey
• Samuel Fianko-Ofori
• Marilee J Fijalka-Carr, M.P.T.
• Merrily Fillmore, ARNP
• Catherine Filoteo

• Surgery Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.