NPIMap

Organization Active NPI

Highline Medical Group

  • Family Medicine Physician
  • Des Moines, WA
National Provider Identifier
1629329065
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIGHLINE MEDICAL GROUP
Practice address
22000 Marine View Dr S
Suite 100
Des Moines, WA 98198-6233
Phone
(206) 870-4460
Fax
(206) 870-4770
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Vickie D Jimenez
Title
Director of Operations
Phone
(206) 439-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

22000 Marine View Dr S
Suite 100
Des Moines, WA 98198-6233

Mailing address

22000 Marine View Dr S
Suite 100
Des Moines, WA 98198-6233
Phone (206) 870-4460

Other names 1

  • Des Moines Medical & UC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highline Medical Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1629329065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 MARINE VIEW DR S",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986233",
            "telephone_number": "206-870-4460",
            "fax_number": "206-870-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 MARINE VIEW DR S",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986233",
            "telephone_number": "206-870-4460",
            "fax_number": "206-870-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLINE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "206-439-4887"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Moines Medical & UC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.