NPIMap

Organization Active NPI

Electrodiagnosis & Rehabilitation Associates of Tacoma, PS

  • Specialist
  • Tacoma, WA
National Provider Identifier
1508821422
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00019442 Issued in WA
Legal business name
ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
Practice address
3315 S 23Rd St
Ste 200
Tacoma, WA 98405-1616
Phone
(253) 272-9994
Fax
(253) 572-0468
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Mohammad A Saeed, M.D., M.S.NPI 1184680845
Title
President
Phone
(253) 272-9994

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: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00019442 WA Primary

Addresses

Primary practice location

3315 S 23Rd St
Ste 200
Tacoma, WA 98405-1616

Mailing address

3315 S 23Rd St
Ste 200
Tacoma, WA 98405-1616
Phone (253) 272-9994

Other identifiers 4

IdentifierTypeStateIssuer
1844505MedicaidWA
143326OtherWAECFMG
MD00019442OtherWASTATE LICENSE
13694OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000234 WA Part B Supplier - Clinic/Group Practice 5597652677 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Federal Way, WA; Tacoma, WA; Olympia, WA; Lakewood, WA; Gig Harbor, WA; Covington, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

27005 168th Pl SE
#301A
Covington, WA 98042

27005 168th Pl SE
Ste 301A
Covington, WA 98042

34617 11th Pl S
Ste 101
Federal Way, WA 98003
Phone (253) 838-8516

4700 Point Fosdick Dr
Ste 250
Gig Harbor, WA 98335

1707 3rd St SE
Ste A
Puyallup, WA 98372
Phone (253) 200-2355

3315 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (206) 572-8326

2201 S 19th St
Ste 104
Tacoma, WA 98405
Phone (253) 627-5066

1724 West Union Ave
Ste 101
Tacoma, WA 98405

Practitioners & affiliated clinicians

Practitioners 10

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508821422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 S 23RD ST",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051616",
            "telephone_number": "253-272-9994",
            "fax_number": "253-572-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S 23RD ST",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051616",
            "telephone_number": "253-272-9994",
            "fax_number": "253-572-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-272-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00019442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1844505",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "143326",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD00019442",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "13694",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.