Individual provider Active NPI

Paul Norman Joos, M.D.

  • Specialist
  • Renton, WA
National Provider Identifier
1700843976
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00016846 Issued in WA
Practice address
4011 Talbot Rd S
#210
Renton, WA 98055-5773
Phone
(425) 255-4250
Fax
(425) 271-3294
NPI assigned
Apr 29, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00016846 WA Primary

Addresses

Primary practice location

4011 Talbot Rd S
#210
Renton, WA 98055-5773

Mailing address

4011 Talbot Rd S
#210
Renton, WA 98055-5773
Phone (425) 255-4250

Other identifiers 1

IdentifierTypeStateIssuer
1476308MedicaidWA

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
I20100727000394 WA Practitioner - Ophthalmology 5395631089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye and Laser Center, Inc.,P.S. CurrentSince Aug 8, 1978 Accepting new patients
Valley Eye and Laser Center Inc. P.S. CurrentSince Aug 8, 1978 Accepting new patients

Locations

15215 SE 272nd St
Ste 105
Kent, WA 98042
Phone (253) 631-8000

4011 Talbot Rd S
Ste 210
Renton, WA 98055
Phone (425) 255-4250

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1700843976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 TALBOT RD S",
            "address_2": "#210",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555773",
            "telephone_number": "425-255-4250",
            "fax_number": "425-271-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 TALBOT RD S",
            "address_2": "#210",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555773",
            "telephone_number": "425-255-4250",
            "fax_number": "425-271-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOOS",
        "first_name": "PAUL",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-29",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00016846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476308",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.