Individual provider Active NPI

Joseph D. Ference, PA-C

  • Physician Assistant
  • Lakewood, WA
National Provider Identifier
1255387783
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone
(253) 503-3666
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X PA10004397 WA
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X PA10004397 WA
Family Health Clinical Nurse Specialist 364SF0001X PA10004397 WA

Addresses

Primary practice location

9720 S Tacoma Way
Lakewood, WA 98499-4456

Mailing address

15 Oregon Ave Ste 308
Tacoma, WA 98409-7462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000575 WA Practitioner - Physician Assistant 3779564364 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
Group practices
Rainier Internal Medicine LLCGroup PAC ID 7911049242, 8 clinicians

Practice addresses (Care Compare)

3800 3Rd St SE
Puyallup, WA 98374-1109
Phone (253) 200-0415

9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone (253) 503-3666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10004397WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Palisades Podiatry PLLC Past Accepting new patients
New Life Recovery Solutions PastSince Dec 8, 2024 Accepting new patients
Public Hospital District No. 4, King County Washington Past Accepting new patients
Public Hospital District No 4, King County Wa Physician Assistant Past Accepting new patients
Northwest Neurological PLLC PastSince Apr 13, 2024 Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1255387783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OREGON AVE STE 308",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 S TACOMA WAY",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994456",
            "telephone_number": "253-503-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCE",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WA",
            "license": "PA10004397",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004397",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WA",
            "license": "PA10004397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.