Organization Active NPI

Tuan My Lieu MD Medical Office

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1528120441
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00020719 Issued in WA
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

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
Mr. Tuan My Lieu, MD
Title
MD Physician
Phone
(206) 725-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7114879MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.