Urologic Northwest Surgeons PS

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD00040403 Issued in WA

Legal business name

UROLOGIC NORTHWEST SURGEONS PS

Practice address

316 Martin Luther King Jr Way
Suite 312
Tacoma, WA 98405-4252

Phone

(253) 383-4404

Fax

(253) 272-5177

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Francis Young-Jin Kim, M.D.

Title

President

Phone

(253) 383-4404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1265575336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MARTIN LUTHER KING JR WAY",
            "address_2": "SUITE 312",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054252",
            "telephone_number": "253-383-4404",
            "fax_number": "253-272-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MARTIN LUTHER KING JR WAY",
            "address_2": "SUITE 312",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054252",
            "telephone_number": "253-383-4404",
            "fax_number": "253-272-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC NORTHWEST SURGEONS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "YOUNG-JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-383-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00040403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118074",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Desiree Urbina
• Theresa Urbina, DO
• Kyong Cha Urbon, LMP
• Richard Lyle Urbon Jr., M.D.
• Anne E Urlie
• Urological Consultants
• Christopher Agatino Ursino, PAC
• US Army
• US Mobility Inc
• Junaid Q Usman, MD

• Urology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.