Entpsa Puyallup ASC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENTPSA PUYALLUP ASC

Practice address

1609 S Meridian
Puyallup, WA 98371-7517

Phone

(253) 833-6241

Fax

(253) 833-4113

NPI assigned

Jul 1, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Dr. Christine M Puig, MDNPI 1194834861

Title

President

Phone

(253) 833-6241

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Ear Nose Throat Plastic Su

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ear Nose Throat & Plastic Surgery Associates Inc

  • Facial Plastic Surgery Physician
  • Auburn, WA
  • NPI 1417039488
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine M Puig, MD

  • Otolaryngology Physician
  • Auburn, WA
  • NPI 1194834861
  Authorized official Same address or phone

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1316175094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 6TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024342",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717517",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTPSA PUYALLUP ASC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR, NOSE, THROAT & PLASTIC SURGERY ASSOCIATES",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-833-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133671",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3535EN",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Emtman
• Endure Physical Therapy
• Seth Thomas Englebert, LMT
• Angela Enlow, LICSW
• Jake Edward Enslin
• Consuelo Epistola, PA
• Erica Nicole Erhardt
• McKenna Rae Erhardt, LMHC
• Eric Nordberg DDS MSD PLLC
• Barbara C Erickson

• Ambulatory Surgical Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.