Organization Active NPI

Ear Nose Throat and Plastic Surgery Associates of the South Sound PS

  • Facial Plastic Surgery Physician
  • Auburn, WA
National Provider Identifier
1700010642
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
EAR NOSE THROAT AND PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS
Practice address
310 6TH St NE
Auburn, WA 98002-4342
Phone
(253) 833-6241
Fax
(253) 833-4113
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Dr. Christine Marie Puig, MD
Title
President
Phone
(253) 833-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

310 6TH St NE
Auburn, WA 98002-4342

Mailing address

310 6TH St NE
Auburn, WA 98002-4342
Phone (253) 833-6241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1700010642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 6TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024342",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 6TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024342",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE THROAT AND PLASTIC SURGERY ASSOCIATES OF THE SOUTH SOUND PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-833-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.