Stephen M. Egge, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00018977 Issued in WA

Practice address

11019 Canyon Rd E
Ste a
Puyallup, WA 98373-4298

Phone

(253) 537-0293

Fax

(253) 537-7650

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1295731578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E",
            "address_2": "STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734298",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGE",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Murray Edstrom, MD
• Danielle Edwards
• Leiali'I Ruth Edwards, OTD
• Meagan Edwards
• Amy Florence Egbert
• Mary Eggert
• Ehlen & Fuller DDS PLLC (jack ehlen, dds & julie fuller, dds)
• Jack Edward Ehlen, DDS
• Devin Joseph Ehli, DPT
• Jessica Eickhoff, MS, CCC-SLP

• Family Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.