Active NPI
Ryan J Street, MD
- Urology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD60644430
- Practice address
- 1519 3Rd St SE
Suite 210
Puyallup, WA 98372-3742 - Phone
- (253) 840-4994
- Fax
- (253) 770-1105
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD60644430 | WA | Primary |
Addresses
Primary practice location
1519 3Rd St SE
Suite 210
Puyallup, WA 98372-3742
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
- Tacoma General Allenmore Hospital
- Multicare Covington Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 14 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60644430 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Urology | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
3801 5th St SE
Ste 110
Puyallup, WA 98374
Phone (253) 845-9585
1519 3rd St SE
Ste 210
Puyallup, WA 98372
Phone (252) 840-4994
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1700925351
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1114972791
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1437443348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 3RD ST SE",
"address_2": "SUITE 210",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723742",
"telephone_number": "253-840-4994",
"fax_number": "253-770-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "RYAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD60644430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.