Active NPI
Robin L Vargo, P.A.
- Physician Assistant
- Joint Base Lewis McChord, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 60404079
- Practice address
- 690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303 - Phone
- (253) 982-0328
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 014421 | NY | |
| Physician Assistant | 363A00000X | PA07611 | TX | |
| Physician Assistant | 363A00000X | PA 60404079 | WA | Primary |
Addresses
Primary practice location
690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303
Mailing address
1110 9TH Ave SW
Puyallup, WA 98371-6736
Phone (512) 294-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02997217 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10004 204TH Ave E
Suite 2600
Bonney Lake, WA 98391-6539
Phone (253) 482-8700
11511 Canterwood Blvd
Suite 45
Gig Harbor, WA 98332-5816
Phone (253) 428-8700
1624 I St S
Suite 305
Tacoma, WA 98405-5093
1624 S I St
Tacoma, WA 98405-5093
Phone (253) 428-8700
2920 S Meridian
Suite 100
Puyallup, WA 98373-1654
Phone (253) 428-8700
2940 S Meridian
Suite 200
Puyallup, WA 98373-1659
Phone (253) 428-8700
34509 9TH Ave S
Suite 107
Federal Way, WA 98003-8707
Phone (253) 428-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60404079 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Specialties PLLC | Current | Accepting new patients | |
| Northwest Medical Specialties Pharmacy | Current | Accepting new patients |
Locations
10004 204th Ave E
Ste 2600
Bonney Lake, WA 98391
Phone (253) 446-3983
34509 9th Ave S
Ste 107
Federal Way, WA 98003
Phone (253) 272-7777
3920 Capital Mall Dr SW
Ste 402
Olympia, WA 98502
Phone (360) 704-4786
3920 Capital Mall Dr SW
Ste 404
Olympia, WA 98502
2940 S Meridian
Ste 200
Puyallup, WA 98373
2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599
1624 S I St
Ste 202
Tacoma, WA 98405
Phone (253) 272-3639
1624 S I St
Ste 105
Tacoma, WA 98405
1624 S I St
Ste 305
Tacoma, WA 98405
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1548261308
-
- Clinic Pharmacy
- Tacoma, WA
- NPI 1053489062
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388102400000",
"number": "1629378641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 9TH AVE SW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983716736",
"telephone_number": "512-294-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 BARNES BLVD",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984381303",
"telephone_number": "253-982-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "ROBIN",
"middle_name": "L",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2013-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014421",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07611",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA 60404079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02997217",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.