Active NPI
Howard L Hull, PA-C
- Physician Assistant
- Puyallup, WA
National Provider Identifier
1265410138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10000537
- Practice address
- 1706 Meridian S
Suite 120
Puyallup, WA 98371-7516 - Phone
- (253) 848-8797
- Fax
- (253) 446-3239
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10000537 | WA | Primary |
Addresses
Primary practice location
1706 Meridian S
Suite 120
Puyallup, WA 98371-7516
Mailing address
1706 Meridian S
Suite 120
Puyallup, WA 98371-7516
Phone (253) 848-8797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8391229 | Other | WA | DSHS NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Good Samaritan Community Healthcare | Past | Accepting new patients | |
| Multicare Health System | Physician Assistant | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1706 S Meridian
Ste 120
Puyallup, WA 98371
Phone (253) 848-8797
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1063711562
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1265410138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 MERIDIAN S",
"address_2": "SUITE 120",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717516",
"telephone_number": "253-848-8797",
"fax_number": "253-446-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 MERIDIAN S",
"address_2": "SUITE 120",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717516",
"telephone_number": "253-848-8797",
"fax_number": "253-446-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "HOWARD",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-02",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10000537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS NUMBER",
"identifier": "8391229",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.