Proctor Personal MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROCTOR PERSONAL MD, PLLC

Practice address

2517 N Washington St
Tacoma, WA 98406-5841

Phone

(253) 759-3586

Fax

(253) 759-5746

NPI assigned

Nov 13, 2020

Last updated

Oct 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa V Hamill, MDNPI 1578655148

Title

Physician/Owner

Phone

(253) 759-3586

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa V Hamill, MD

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1578655148
  Medicare reassignment Care Compare group NPD Authorized official
• Paul W. Pumilia, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1659454528
  Medicare reassignment Care Compare group NPD
• Anja Crider, MD

  • Obstetrics & Gynecology Physician
  • Federal Way, WA
  • NPI 1760417885
  NPD
• Donald Andrew Loomis, MD

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1700835329
  NPD
• Tammara S. Stefanelli, M.D.

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1861441487
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1649872680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N WASHINGTON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065841",
            "telephone_number": "253-759-3586",
            "fax_number": "253-759-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N WASHINGTON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065841",
            "telephone_number": "253-759-3586",
            "fax_number": "253-759-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOR PERSONAL MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "HAMILL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "253-759-3586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1578655148",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "darilee@3familypractice.com",
            "affiliation": "N",
            "endpointDescription": "office manager email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2517 N Washington St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984065841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priyan Perera MD PLLC (Northwest Rehabilitation)
• Proactive Functional Health PLLC
• Scott S Probst, DDS
• Proctor Chiropractic Inc. PS (Proctor Chiropractic)
• Proctor Medical Clinic
• Proctor Vision Clinic, PLLC
• William C Proctor
• Professional Pharmacy Services, Inc. (Puget Sound Pharmacy)
• Professional Portable Radiologic Services Inc (Professional Portable X-Ray, Inc.)
• Professional Portable Radiologic Services Inc (Professional Portable X-Ray, Inc.)

• Internal Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.