St. Paul Medical Clinic, P.S.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OP60001377 Issued in WA

Legal business name

ST. PAUL MEDICAL CLINIC, P.S.

Practice address

510 6TH Ave S
101
Seattle, WA 98104-3877

Phone

(206) 240-0422

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tony Pham, D.O.NPI 1881661775

Title

Physician/Owner

Phone

(206) 240-0422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Pham, D.O.

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1881661775
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1265750830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 6TH AVE S",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043877",
            "telephone_number": "206-240-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 6TH AVE S",
            "address_2": "101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043877",
            "telephone_number": "206-240-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL MEDICAL CLINIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "206-240-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "OP60001377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Snow St. Betts, M.S.W.
• Jessica L St. Clair, MA
• Jennifer Ann St. Cyr, LICSW
• Alexander St. John, MD
• Tanya St. John
• Ann L St.Marie
• Margurite M Staab, P.A.
• Alycia Staats, OTR/L
• Rachael Stabbert
• Stable Living Solutions LLLP

• Primary Care Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.