Active NPI
Tuan My Lieu MD Medical Office
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1528120441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00020719
- Legal business name
- TUAN MY LIEU MD MEDICAL OFFICE
- Practice address
- 4739 1-2 Rainier Avenue South
Seattle, WA 98118-1657 - Phone
- (206) 725-0119
- Fax
- (206) 725-8829
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tuan My Lieu, MD
- Title
- MD Physician
- Phone
- (206) 725-0119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00020719 | WA | Primary |
Addresses
Primary practice location
4739 1-2 Rainier Avenue South
Seattle, WA 98118-1657
Mailing address
4739 1-2 Rainier Avenue South
Seattle, WA 98118-1657
Phone (206) 725-0119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7114879 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
4739 Rainier Ave S
#1-2
Seattle, WA 98118
Phone (206) 723-1273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Seattle, WA
- NPI 1144309972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1528120441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4739 1-2 RAINIER AVENUE SOUTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181657",
"telephone_number": "206-725-0119",
"fax_number": "206-725-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4739 1-2 RAINIER AVENUE SOUTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181657",
"telephone_number": "206-725-0119",
"fax_number": "206-725-8829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUAN MY LIEU MD MEDICAL OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "LIEU",
"authorized_official_first_name": "TUAN",
"authorized_official_middle_name": "MY",
"authorized_official_title_or_position": "MD PHYSICIAN",
"authorized_official_telephone_number": "206-725-0119",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00020719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7114879",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.