Active NPI
Paul Manfred Doepfner, MD
- Anesthesiology Physician
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00033163
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1577DO | Other | REGENCE | |
| 7127756 | Medicaid | WA | |
| P00270715 | Other | RAILROAD 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033163 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MV-Anesthesia PS | Anesthesiology | Current | Accepting new patients |
| Arunacha PS | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Gig Harbor, WA
- NPI 1093066334
-
- Anesthesiology Physician
- Mount Vernon, WA
- NPI 1154457281
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1306018973
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.