Health Heroes PNW, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

603-607-747 Issued in WA

Legal business name

HEALTH HEROES PNW, INC.

Practice address

720 S 320TH St
Ste E
Federal Way, WA 98003-5254

Phone

(206) 419-1815

NPI assigned

May 12, 2016

Last updated

May 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy C Smith Jr.

Title

President

Phone

(206) 419-1815

Specialties & licenses 2

Addresses

Other names 1

• Health Heroes of the Pacific Northwest Other name

Locations

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1316393036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23418 PACIFIC HWY S",
            "address_2": "PO BOX 3104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980329994",
            "telephone_number": "206-419-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 320TH ST",
            "address_2": "STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035254",
            "telephone_number": "206-419-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH HEROES PNW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-419-1815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "603-607-747",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "603-607-747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Heroes of the Pacific Northwest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.