Organization Active NPI

Stephen G. Atkinson, M.D., P.C.

  • Surgery Physician
  • Enumclaw, WA
National Provider Identifier
1366719486
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00039844 Issued in WA
Legal business name
STEPHEN G. ATKINSON, M.D., P.C.
Practice address
1427 Jefferson Ave Ste 203
Enumclaw, WA 98022-3649
Phone
(253) 825-2701
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Stephen G. Atkinson, M.D.
Title
Owner
Phone
(360) 825-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD00039844 WA Primary

Addresses

Primary practice location

1427 Jefferson Ave Ste 203
Enumclaw, WA 98022-3649

Mailing address

1427 Jefferson Ave Ste 203
Enumclaw, WA 98022-3649
Phone (253) 825-2701

National Provider Directory

National Provider Directory

Locations

1427 Jefferson Ave
Ste 203
Enumclaw, WA 98022
Phone (360) 825-1334

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1366719486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE STE 203",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "253-825-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE STE 203",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "253-825-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G. ATKINSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-825-2701",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00039844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.