Organization Active NPI

Ear Nose Throat & Plastic Surgery Associates Inc

  • Facial Plastic Surgery Physician
  • Auburn, WA
National Provider Identifier
1417039488
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
601410204 Issued in WA
Legal business name
EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES INC
Practice address
310 6TH St NE
Auburn, WA 98002-4342
Phone
(253) 833-6241
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Dr. Christine M Puig, MD
Title
President
Phone
(253) 833-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X 601410204 WA Primary

Addresses

Primary practice location

310 6TH St NE
Auburn, WA 98002-4342

Mailing address

310 6TH St NE
Auburn, WA 98002-4342
Phone (253) 833-6241

Other identifiers 2

IdentifierTypeStateIssuer
1609834258OtherWANPI
7060890MedicaidWA

National Provider Directory

National Provider Directory

Locations

125 3rd St NE
Ste 401
Auburn, WA 98002
Phone (253) 735-2363

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1417039488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 6TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024342",
            "telephone_number": "253-833-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 6TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024342",
            "telephone_number": "253-833-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT & PLASTIC SURGERY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-833-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WA",
            "license": "601410204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609834258",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7060890",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.