Individual provider Active NPI

Gregory Edwin Arnette, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1265454565
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18973 Issued in WA
Practice address
1310 S Union Ave
A-201
Tacoma, WA 98405-1907
Phone
(253) 272-6903
Fax
(253) 272-4047
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18973 WA Primary

Addresses

Primary practice location

1310 S Union Ave
A-201
Tacoma, WA 98405-1907

Mailing address

1310 S Union Ave
A-201
Tacoma, WA 98405-1907
Phone (253) 272-6903

Other identifiers 3

IdentifierTypeStateIssuer
AR0749OtherWAREGENCE
1021401MedicaidWA
110007333OtherWARR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001147 WA Practitioner - Internal Medicine 3274729272 Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18973WAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1265454565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S UNION AVE",
            "address_2": "A-201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051907",
            "telephone_number": "253-272-6903",
            "fax_number": "253-272-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S UNION AVE",
            "address_2": "A-201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051907",
            "telephone_number": "253-272-6903",
            "fax_number": "253-272-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETTE",
        "first_name": "GREGORY",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "18973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "AR0749",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021401",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110007333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.