NPIMap

Organization Active NPI

Highline Internal Medicine PS

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1407880321
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00033961 Issued in WA
Legal business name
HIGHLINE INTERNAL MEDICINE PS
Practice address
1818 S Union Ave Ste 1a
Tacoma, WA 98405-1953
Phone
(206) 212-0977
Fax
(206) 420-1458
NPI assigned
Jul 10, 2006
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
James ButtittaNPI 1376572214
Title
Owner
Phone
(206) 212-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD00033961 WA Primary

Addresses

Primary practice location

1818 S Union Ave Ste 1a
Tacoma, WA 98405-1953

Mailing address

PO Box 13310
Burton, WA 98013-0310
Phone (206) 212-0977

Other practice location 1

1818 S Union Ave Ste 1A
Tacoma, WA 98405-1953
Phone (206) 212-0977

National Provider Directory

National Provider Directory

Locations

16233 Sylvester Rd SW
Ste 230
Burien, WA 98166
Phone (206) 242-7822

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1407880321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13310",
            "city": "BURTON",
            "state": "WA",
            "postal_code": "980130310",
            "telephone_number": "206-212-0977",
            "fax_number": "206-420-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION AVE STE 1A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "206-212-0977",
            "fax_number": "206-420-1458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 S Union Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051953",
            "country_code": "US",
            "telephone_number": "206-212-0977",
            "fax_number": "206-420-1458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGHLINE INTERNAL MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "BUTTITTA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-212-0977"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00033961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.