NPIMap

Organization Active NPI

Neurology & Neurosurgery Associates of Tacoma PLLC

  • Neurology Physician
  • Tacoma, WA
National Provider Identifier
1568460707
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY & NEUROSURGERY ASSOCIATES OF TACOMA PLLC
Practice address
915 6TH Ave
Ste 200
Tacoma, WA 98405-4682
Phone
(253) 403-7299
Fax
(253) 403-7298
NPI assigned
Jul 12, 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
John Robert Huddlestone, M.D.
Title
Managing Member
Phone
(253) 403-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X WA Primary

Addresses

Primary practice location

915 6TH Ave
Ste 200
Tacoma, WA 98405-4682

Mailing address

915 6TH Ave
Ste 200
Tacoma, WA 98405-4682
Phone (253) 403-7299

Other identifiers 1

IdentifierTypeStateIssuer
7809403MedicaidWA

Other names 1

  • Neurology & Neurosurgery Associates of Tacoma Inc PS Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568460707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 6TH AVE",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054682",
            "telephone_number": "253-403-7299",
            "fax_number": "253-403-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 6TH AVE",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054682",
            "telephone_number": "253-403-7299",
            "fax_number": "253-403-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & NEUROSURGERY ASSOCIATES OF TACOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "253-403-7299",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology & Neurosurgery Associates of Tacoma Inc PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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.