Pierce County Fire District 5

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

27D05 Issued in WA

Legal business name

PIERCE COUNTY FIRE DISTRICT 5

Practice address

10222 Bujacich Rd NW
Gig Harbor, WA 98332-8595

Phone

(253) 851-3111

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Michael Dumas, EMS DIVISION CHIEF

Title

EMS Division Chief

Phone

(253) 851-3111

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Gig Harbor Fire & Medic One Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1740256015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 BUJACICH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328595",
            "telephone_number": "253-851-3111",
            "fax_number": "253-851-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 BUJACICH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328595",
            "telephone_number": "253-851-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY FIRE DISTRICT 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EMS DIVISION CHIEF",
        "authorized_official_telephone_number": "253-851-3111",
        "authorized_official_credential": "EMS DIVISION CHIEF"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "27D05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "PI6515",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA135WA",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030222",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0062914",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gig Harbor Fire & Medic One",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gig Harbor Fire & Medic One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheyenne Phipps, DPT
• Laura Lee Phipps, LMP
• Justin H Piasecki, M.D.
• Picket Fence Therapy
• Jacinda Leigh Pickett, PHARMD
• Melody Pilecki
• Vince Pinaroc, PHARM.D
• Casey Pinch, PA
• Reina Pineda, MA 61098848
• Gary Richard Pingrey, DO

• Land Ambulance in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.