Puget Sound Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

602174947 Issued in WA

Legal business name

PUGET SOUND MEDICAL

Practice address

3202 20TH St E
Fife, WA 98424-1713

Phone

(253) 284-0909

Fax

(253) 284-0913

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Robert Barrett

Title

Owner

Phone

(253) 857-3322

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1376604124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 20TH ST E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241713",
            "telephone_number": "253-284-0909",
            "fax_number": "253-284-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 20TH ST E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241713",
            "telephone_number": "253-284-0909",
            "fax_number": "253-284-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-857-3322"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602174947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047119",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eden Patterson
• Craig Peterson, N.D. LAC
• Loan Vu Minh Pham, DNP
• Mary Elizabeth Platt, D.O.
• Deanne Plunkett
• Qwibil Clinic
• Denise Lee Raddatz, ARNP, AGNP-C
• Radds Medicare LLC
• Bonnie Ragazzo, LMT
• Rainy Mobility LLC

• Durable Medical Equipment & Medical Supplies in Fife, WA
• Providers in Fife, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.