Organization Active NPI

James M Komorous MD PS

  • Dermatology Physician
  • Tacoma, WA
National Provider Identifier
1528060902
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JAMES M KOMOROUS MD PS
Practice address
1901 S Union Ave
Ste B-2003
Tacoma, WA 98405-1702
Phone
(253) 752-7705
Fax
(253) 752-0113
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
James Michael Komorous, MD
Title
President of Corporation/Physician
Phone
(253) 752-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X WA Primary

Addresses

Primary practice location

1901 S Union Ave
Ste B-2003
Tacoma, WA 98405-1702

Mailing address

1901 S Union Ave
Ste B-2003
Tacoma, WA 98405-1702
Phone (253) 752-7705

National Provider Directory

National Provider Directory

Locations

1901 S Union Ave
Ste B2003
Tacoma, WA 98405
Phone (206) 752-7705

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528060902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "STE B-2003",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-752-7705",
            "fax_number": "253-752-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "STE B-2003",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-752-7705",
            "fax_number": "253-752-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M KOMOROUS MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOMOROUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION/PHYSICIAN",
        "authorized_official_telephone_number": "253-752-7705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.