Active NPI
Charles John Hammond, PA
- Medical Physician Assistant
- Tacoma, WA
National Provider Identifier
1659449122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10002904
- Practice address
- Madigan Army Medical Center
Bulding 9040 Fitzsimmons Dr
Tacoma, WA 98431 - Phone
- (253) 968-0433
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10002904 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center
Bulding 9040 Fitzsimmons Dr
Tacoma, WA 98431
Mailing address
Madigan Army Medical Center
Bulding 9040 Fitzsimmons Dr
Tacoma, WA 98431
Phone (253) 968-0433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10002904 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659449122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "BULDING 9040 FITZSIMMONS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "BULDING 9040 FITZSIMMONS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "CHARLES",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10002904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.