NPIMap

Organization Active NPI

Philip C. Kierney M.D. P.S

  • Specialist
  • Puyallup, WA
National Provider Identifier
1508087693
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
601000983 Issued in WA
Legal business name
PHILIP C. KIERNEY M.D. P.S
Practice address
105 27TH Ave SE
Puyallup, WA 98374-1150
Phone
(253) 848-8110
Fax
(253) 845-3561
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Dr. Chia Chung, MD,PSNPI 1427189471
Title
Owner
Phone
(253) 848-8110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 601000983 WA Primary

Addresses

Primary practice location

105 27TH Ave SE
Puyallup, WA 98374-1150

Mailing address

105 27TH Ave SE
Puyallup, WA 98374-1150
Phone (253) 848-8110

Other names 1

  • Ambulatory Puyallup Surgicenter Doing business as

National Provider Directory

National Provider Directory

Locations

105 27th Ave SE
Puyallup, WA 98374
Phone (253) 848-8110

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1508087693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 27TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741150",
            "telephone_number": "253-848-8110",
            "fax_number": "253-845-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 27TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741150",
            "telephone_number": "253-848-8110",
            "fax_number": "253-845-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP C. KIERNEY M.D. P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "CHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-848-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "601000983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Puyallup Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2026; 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.