John N Diaconou MD PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00018742 Issued in WA

Legal business name

JOHN N DIACONOU MD PS

Practice address

34509 9TH Ave S
Suite 102
Federal Way, WA 98003-6700

Phone

(253) 833-8032

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Marilyne Tweit

Title

Clinic Manager

Phone

(253) 833-8032

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

John N Diaconou MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John N Diaconou MD

  • Specialist
  • Auburn, WA
  • NPI 1427266733
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John N Diaconou, MD PS

  • Vascular Surgery Physician
  • Auburn, WA
  • NPI 1821105164
  NPD (past)
• Dennis L Loudenback, PAC

  • Surgical Physician Assistant
  • Edmonds, WA
  • NPI 1932135274
  NPD (past)
• Rakesh Safaya, MD

  • Vascular Surgery Physician
  • Fremont, CA
  • NPI 1144337866
  NPD (past)
• Michael Zammit, M.D.

  • Vascular Surgery Physician
  • Twin Falls, ID
  • NPI 1841251188
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1760657142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N DIVISION",
            "address_2": "SUITE 402",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-833-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S",
            "address_2": "SUITE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036700",
            "telephone_number": "253-833-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N DIACONOU MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "TWEIT",
        "authorized_official_first_name": "MARILYNE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "253-833-8032"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00018742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "D522",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1779008",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0152713",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celina Jimenez, RN
• Claudia Joaquin
• Mary Elsbeth Johann, ARNP
• John a. Hodges DDS PS
• John Campbell Counseling
• Johning Corporation
• Karen Johnsen
• Aaliyah Johnson
• Andrew Douglas Johnson, LMP
• Arlene Johnson, DNP, CNM, ARNP

• Specialist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.