Active NPI
Joyce E Mauk, MD
- Specialist
- Edmonds, WA
National Provider Identifier
1679590582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00028623
- Practice address
- 7320 216TH St SW
Suite 310
Edmonds, WA 98026-8006 - Phone
- (425) 673-3800
- Fax
- (425) 673-3803
- NPI assigned
- Jul 16, 2006
- Last updated
- May 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00028623 | WA | Primary |
Addresses
Primary practice location
7320 216TH St SW
Suite 310
Edmonds, WA 98026-8006
Mailing address
7320 216TH St SW
Suite 310
Edmonds, WA 98026-8006
Phone (425) 673-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130023213 | Other | WA | RR MEDICARE |
| 8221822 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1679590582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 216TH ST SW",
"address_2": "SUITE 310",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3800",
"fax_number": "425-673-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 216TH ST SW",
"address_2": "SUITE 310",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3800",
"fax_number": "425-673-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUK",
"first_name": "JOYCE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00028623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "130023213",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8221822",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.