Mercedes Somich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA60915702 Issued in WA

Practice address

2200 N 30TH St Ste 201
Tacoma, WA 98403-3364

Phone

(253) 779-5858

Fax

(253) 779-5757

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1508306374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N 30TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N 30TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033364",
            "telephone_number": "253-779-5858",
            "fax_number": "253-779-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMICH",
        "first_name": "MERCEDES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "OA60915702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard William Solitaire, MA, LMHC
• Brittany Solmon, LDO, ABOC, NCLEC
• Stacey Ann Solomonson, RN
• Christopher Rhett Soltas, PA-C
• Soundarya Somasundaram, PA-C
• Matthew Gerard Somma, PA-C
• Emily Jean Sommer Liddle
• Taylor Alicia Sommer
• Son Bui DMD PLLC
• Brady T Son, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.