Active NPI
Tatyana A. Storozhuk, PA-C
- Medical Physician Assistant
- Covington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 60053302
- Practice address
- 27500 168TH PL SE
Covington, WA 98042-5563 - Phone
- (253) 395-2006
- Fax
- (253) 395-1977
- NPI assigned
- Dec 5, 2008
- Last updated
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 60053302 | WA | Primary |
Addresses
Primary practice location
27500 168TH PL SE
Covington, WA 98042-5563
Mailing address
PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16850 SE 272ND St
Covington, WA 98042-4931
26458 Maple Valley Black Diamond Rd
Maple Valley, WA 98038-8350
Phone (425) 656-5577
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60053302 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District 1 of King County | Past | Accepting new patients |
Interoperability endpoints
- tstorozhuk15754@direct.valleymed.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Medical Center
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1396980215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34876",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241876",
"telephone_number": "425-656-5412",
"fax_number": "425-656-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27500 168TH PL SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980425563",
"telephone_number": "253-395-2006",
"fax_number": "253-395-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOROZHUK",
"first_name": "TATYANA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "60053302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, WA
- Christopher Joseph Stanley, PA
- Steven L Paige DDS & Leroy Horton DDS Covington - PLLC (Affordable Dental Care)
- Vladimir Stoianov, PHARMD
- Erin Jensen Stolworthy, PA-C
- Patricia Ann Stone, LMP, CR
- Michael W Strunk, MD
- Noah Ryan Sturgill
- Sue J. Kim, DDS, PLLC
- Celita Louise Summerrise
- Carl Swanstrom, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.