Active NPI
Trinity Family Medical Clinic
- Family Medicine Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00042936
- Legal business name
- TRINITY FAMILY MEDICAL CLINIC
- Practice address
- 610 S Meridian
Puyallup, WA 98371 - Phone
- (253) 881-1844
- Fax
- (253) 881-1925
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugenia D Guray, MD
- Title
- Owner
- Phone
- (253) 881-1844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00042936 | WA | Primary |
Addresses
Primary practice location
610 S Meridian
Puyallup, WA 98371
Mailing address
610 S Meridian
Puyallup, WA 98371-5908
Phone (855) 621-8250
Other names 1
- Trinity Family Medical Clinic PS, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2129441 | Trinity Family Medical Clinic PS Inc | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
610 S Meridian
Puyallup, WA 98371
Phone (253) 845-2629
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Puyallup, WA
- NPI 1275506263
-
- Nurse Practitioner
- Puyallup, WA
- NPI 1558905356
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1548737661
-
- Student in an Organized Health Care Education/Training Program
- Newberg, OR
- NPI 1841018223
WA
-
- Internal Medicine Physician
- Puyallup, WA
- NPI 1457327447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1639617038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715908",
"telephone_number": "855-621-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98371",
"telephone_number": "253-881-1844",
"fax_number": "253-881-1925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY FAMILY MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A",
"authorized_official_last_name": "GURAY",
"authorized_official_first_name": "EUGENIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-881-1844",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00042936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Family Medical Clinic PS, INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.