Northwest Medical Specialties, PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD60274322 Issued in WA

Legal business name

NORTHWEST MEDICAL SPECIALTIES, PLLC

Practice address

2920 S Meridian
Suite 100
Puyallup, WA 98373-1428

Phone

(253) 841-4296

Fax

(253) 841-2435

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Mark V Nelson

Title

Ceo

Phone

(253) 428-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

NW Med Spec PPLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Medical Specialist

  • Oncology Clinical Nurse Specialist
  • Gig Harbor, WA
  • NPI 1578006599
  NPD tax ID
• Northwest Medical Specialties, PLLC

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1326456070
  NPD tax ID

Locations

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1588052245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S I ST",
            "address_2": "SUITE 305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055016",
            "telephone_number": "253-428-8700",
            "fax_number": "253-383-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S MERIDIAN",
            "address_2": "SUITE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731428",
            "telephone_number": "253-841-4296",
            "fax_number": "253-841-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL SPECIALTIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-428-8700"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60274322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD60274322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nordquist Integrated Medicine
• Jonathan J Nordquist, DC
• William Mark Norris, R.PH.
• Northwest Family Chiropractic PC
• Northwest Foot and Ankle Center, PS
• Northwest Mental Health Net
• Northwest Sports Performance
• Greg Charles Norton
• Jason Notario, DMD
• Keali Nowak, LMFTA

• Hematology & Oncology Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Hematology & Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.