NPIMap

Organization Active NPI

Spanaway General Medical Clinic

  • General Practice Physician
  • Tacoma, WA
National Provider Identifier
1770514937
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SPANAWAY GENERAL MEDICAL CLINIC
Practice address
15005 Pacific Ave
Spanaway General Medical Clinic
Tacoma, WA 98444
Phone
(253) 537-3724
Fax
(253) 537-6425
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Andrew Man Kuen Tsoi, MD
Title
Owner
Phone
(253) 537-3724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15005 Pacific Ave
Spanaway General Medical Clinic
Tacoma, WA 98444

Mailing address

15005 Pacific Ave
Spanaway General Medical Clinic
Tacoma, WA 98444
Phone (253) 537-3724

Other identifiers 1

IdentifierTypeStateIssuer
7174006MedicaidWA

National Provider Directory

National Provider Directory

Locations

15005 Pacific Ave S
Tacoma, WA 98444
Phone (253) 537-3724

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1770514937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 PACIFIC AVE",
            "address_2": "SPANAWAY GENERAL MEDICAL CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-3724",
            "fax_number": "253-537-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 PACIFIC AVE",
            "address_2": "SPANAWAY GENERAL MEDICAL CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-537-3724",
            "fax_number": "253-537-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANAWAY GENERAL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "TSOI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MAN KUEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-537-3724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7174006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.