Active NPI
Rapha Clinics, Inc
- Podiatrist
- Shoreline, WA
National Provider Identifier
1366749095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000700
- Legal business name
- RAPHA CLINICS, INC
- Practice address
- 1130 N 185TH St Ste 202
Shoreline, WA 98133-4011 - Phone
- (206) 542-1000
- Fax
- (206) 542-5353
- NPI assigned
- Feb 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Y Joo, DPM
- Title
- Physician/Owner
- Phone
- (206) 542-1000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000700 | WA | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO00000700 | WA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000700 | WA |
Addresses
Primary practice location
1130 N 185TH St Ste 202
Shoreline, WA 98133-4011
Mailing address
1130 N 185TH St Ste 202
Shoreline, WA 98133-4011
Phone (206) 542-1000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAB36982 | Other | WA | MEDICARE PTAN |
| GAB36984 | Other | WA | MEDICARE PTAN |
| 115773 | Medicaid | WA | |
| GAB36981 | Other | MEDICARE PTAN | |
| GAB36983 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
8737 South Tacoma Way
Lakewood, WA 98499
Phone (206) 542-5323
1130 N 185th St
Ste 202
Shoreline, WA 98133
Phone (206) 542-1000
8815 South Tacoma Way
Tacoma, WA 98499
Phone (253) 344-0136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Kent, WA
- NPI 1932178993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297728000000",
"number": "1366749095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 N 185TH ST STE 202",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334011",
"telephone_number": "206-542-1000",
"fax_number": "206-542-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N 185TH ST STE 202",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981334011",
"telephone_number": "206-542-1000",
"fax_number": "206-542-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHA CLINICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A",
"authorized_official_last_name": "JOO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "206-542-1000",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WA",
"license": "PO00000700",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "WA",
"license": "PO00000700",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000700",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GAB36982",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GAB36984",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115773",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GAB36981",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GAB36983",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.