Organization Active NPI

Damon S Pierce MD PS

  • Vascular Surgery Physician
  • Aberdeen, WA
National Provider Identifier
1356622344
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD60075926 Issued in WA
Legal business name
DAMON S PIERCE MD PS
Practice address
954 Anderson Dr
Ste 108
Aberdeen, WA 98520-1001
Phone
(360) 532-1360
Fax
(360) 532-6878
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Damon Scott Pierce, MD
Title
Owner
Phone
(360) 532-1360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD60075926 WA
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X MD60075926 WA Primary

Addresses

Primary practice location

954 Anderson Dr
Ste 108
Aberdeen, WA 98520-1001

Mailing address

954 Anderson Dr
Ste 108
Aberdeen, WA 98520-1001
Phone (360) 532-1360

National Provider Directory

National Provider Directory

Locations

954 Anderson Dr
Ste 108
Aberdeen, WA 98520
Phone (360) 532-1360

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1356622344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 ANDERSON DR",
            "address_2": "STE 108",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201001",
            "telephone_number": "360-532-1360",
            "fax_number": "360-532-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ANDERSON DR",
            "address_2": "STE 108",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201001",
            "telephone_number": "360-532-1360",
            "fax_number": "360-532-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON S PIERCE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-532-1360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60075926",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD60075926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.