Mary Bridge Childrens Health Alliance

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARY BRIDGE CHILDRENS HEALTH ALLIANCE

Practice address

2106 Pacific Ave
Suite 600
Tacoma, WA 98402-3007

Phone

(253) 830-3297

Fax

(253) 830-3296

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Huppe

Title

Ceo

Phone

(253) 830-3221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407902372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5888",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150888",
            "telephone_number": "253-830-3297",
            "fax_number": "253-830-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 PACIFIC AVE",
            "address_2": "SUITE 600",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023007",
            "telephone_number": "253-830-3297",
            "fax_number": "253-830-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BRIDGE CHILDRENS HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUPPE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-830-3221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryna Martynova
• Erik Marubayashi
• Dennis Marubi
• Marvin M. Brooke MD
• Mary Bridge Children's Hospital
• Mary K. Simonson, MD PLLC
• Mary's Tender Care Adult Family Home LLC
• Marys Access Clinic PLLC (M.A.C Health care, M.A.C Aesthetics)
• Rose Elizabeth Marzano, PEER COUNSELOR
• Lynn Catherine Marzoni, LICSW

• Pediatrics Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.