LTC-Aco F&M PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LTC-ACO F&M PLLC

Practice address

6824 19TH St W # 504
University Place, WA 98466-5528

Phone

(253) 777-1423

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Floyd Dekeramayi, MD

Title

Coo

Phone

(253) 314-6904

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1720901739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 19TH ST W # 504",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 19TH ST W # 504",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665528",
            "telephone_number": "253-777-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC-ACO F&M PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "DEKERAMAYI",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "253-314-6904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in University Place, WA
• Providers in University Place, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.