Pacific Nephrology Associates, P.S.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PACIFIC NEPHROLOGY ASSOCIATES, P.S.

Practice address

1901 S Union Ave
Suite B7011
Tacoma, WA 98405-1702

Phone

(253) 627-5755

Fax

(253) 627-7385

NPI assigned

Jul 17, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zheng Ge, M.D.NPI 1487671293

Title

President

Phone

(253) 627-5755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zheng Ge, M.D.,

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1487671293
  Medicare reassignment Care Compare group Authorized official
• Yajuan He, M.D.,PHD

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1518984343
  Medicare reassignment Care Compare group
• Young Ho Kim, MD

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1417100207
  Medicare reassignment Care Compare group
• Carol Lee Kinzner, ARNP

  • Gerontology Nurse Practitioner
  • Tacoma, WA
  • NPI 1386698736
  Medicare reassignment Care Compare group
• Ho Won Lee, M.D.

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1184821225
  Medicare reassignment Care Compare group
• Di Zhao, M.D

  • Nephrology Physician
  • Tacoma, WA
  • NPI 1922281617
  Medicare reassignment Care Compare group
• Madhavi Mallareddy, MD

  • Nephrology Physician
  • Mesquite, TX
  • NPI 1215134630
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1730106568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "B7011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "206-592-5000",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B7011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-627-5755",
            "fax_number": "253-627-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NEPHROLOGY ASSOCIATES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GE",
        "authorized_official_first_name": "ZHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-627-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077472",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Lutheran University
• Pacific Medical Dialysis Services
• Pacific Medical Laboratory Services
• Pacific Medical Specialty on Call Group
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Pacific Northwest Integrative Medicine
• Pacific Northwest Kaizen, PLLC (Doc Bee Well)
• Pacific Northwest Lactation, LLC
• Pacific Northwest Orthodontics
• Pacific Northwest Psychology & Consulting, PLLC

• Nephrology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.