Individual provider Active NPI

Paul Manfred Doepfner, MD

  • Anesthesiology Physician
  • Gig Harbor, WA
National Provider Identifier
1689684649
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00033163 Issued in WA
Practice address
3118 Judson St Unit 1141
Gig Harbor, WA 98335-9253
Phone
(855) 621-8250
Fax
(253) 292-2090
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00033163 WA Primary

Addresses

Primary practice location

3118 Judson St Unit 1141
Gig Harbor, WA 98335-9253

Mailing address

1229 Madison St
Ste 1440
Seattle, WA 98104-3538
Phone (206) 625-0578

Other identifiers 3

IdentifierTypeStateIssuer
1577DOOtherREGENCE
7127756MedicaidWA
P00270715OtherRAILROAD MEDI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001060 WA Practitioner - Anesthesiology 2365331170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25320 Lake Fenwick Rd
Apt B206
Kent, WA 98032-4717
Phone (360) 420-2181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00033163WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MV-Anesthesia PS Anesthesiology CurrentSince Apr 1, 2006 Accepting new patients
Arunacha PS Anesthesiology CurrentSince Sep 26, 2012 Accepting new patients
NWH Anesthesia Support Anesthesiology Past Accepting new patients

Locations

3118 Judson St
Unit 1141
Gig Harbor, WA 98335

6505 226th Pl SE
Ste 102
Issaquah, WA 98027
Phone (425) 313-0776

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1689684649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "STE 1440",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043538",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 JUDSON ST UNIT 1141",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983359253",
            "telephone_number": "855-621-8250",
            "fax_number": "253-292-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEPFNER",
        "first_name": "PAUL",
        "middle_name": "MANFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00033163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1577DO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127756",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDI",
            "identifier": "P00270715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.