Active NPI
Gregory Edwin Arnette, M.D.
- Internal Medicine Physician
- Tacoma, WA
National Provider Identifier
1265454565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18973
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR0749 | Other | WA | REGENCE |
| 1021401 | Medicaid | WA | |
| 110007333 | Other | WA | RR 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18973 | WA | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.