Active NPI
Ear Nose Throat & Plastic Surgery Associates Inc
- Facial Plastic Surgery Physician
- Auburn, WA
National Provider Identifier
1417039488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 601410204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609834258 | Other | WA | NPI |
| 7060890 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ambulatory Surgical Clinic/Center
- Puyallup, WA
- NPI 1316175094
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.