Active NPI
Larry D. Stonesifer, M.D., Inc, P.S.
- Endocrinology, Diabetes & Metabolism Physician
- Federal Way, WA
National Provider Identifier
1386863470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD00021577
- Legal business name
- LARRY D. STONESIFER, M.D., INC, P.S.
- Practice address
- 34509 9TH Ave S Ste 200
Federal Way, WA 98003-8708 - Phone
- (253) 927-4777
- Fax
- (253) 927-6580
- NPI assigned
- Apr 25, 2007
- 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
- Larry D. Stonesifer, M.D.
- Title
- Owner
- Phone
- (253) 927-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD00021577 | WA | Primary |
Addresses
Primary practice location
34509 9TH Ave S Ste 200
Federal Way, WA 98003-8708
Mailing address
34509 9TH Ave S Ste 200
Federal Way, WA 98003-8708
Phone (253) 927-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7089675 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
34509 9th Ave S
Ste 200
Federal Way, WA 98003
Phone (253) 927-4777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272326400000",
"number": "1386863470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34509 9TH AVE S STE 200",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038708",
"telephone_number": "253-927-4777",
"fax_number": "253-927-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34509 9TH AVE S STE 200",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038708",
"telephone_number": "253-927-4777",
"fax_number": "253-927-6580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY D. STONESIFER, M.D., INC, P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2010-04-27",
"status": "A",
"authorized_official_last_name": "STONESIFER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-927-4777",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD00021577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7089675",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.