Purity Medical Spa of Washington, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PURITY MEDICAL SPA OF WASHINGTON, LLC

Practice address

117 15TH Ave SE
Puyallup, WA 98372-3753

Phone

(253) 904-8677

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Fadi AlhafezNPI 1902839111

Title

MD

Phone

(253) 904-8677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fadi Alhafez, M.D.

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1902839111
  NPD (past) Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1376020537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 15TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723753",
            "telephone_number": "253-904-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 15TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723753",
            "telephone_number": "253-904-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURITY MEDICAL SPA OF WASHINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "ALHAFEZ",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "253-904-8677"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puget Sound Specialty Physicians PLLC
• Jennifer Young Pulido
• Edward A Pullen, MD
• Christy Ann Pullman
• Kristina Puncochar
• John Purrington, M. ED
• Susan M Putaansuu, ARNP
• John D. Putnam, M.D.
• Eric Geoffrey Puttler, M.D.
• Allen Lee Putz

• Internal Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.