Organization Active NPI

Larry D. Stonesifer, M.D., Inc, P.S.

  • Endocrinology, Diabetes & Metabolism Physician
  • Federal Way, WA
National Provider Identifier
1386863470
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD00021577 Issued in WA
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

Updated by the provider on Apr 27, 2010

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7089675MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.