Individual provider Active NPI

Jonathan Alan Levant, M.D.

  • Gastroenterology Physician
  • Tacoma, WA
National Provider Identifier
1770833857
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00013066 Issued in WA
Practice address
3201 Pacific Ave
Unit 1108
Tacoma, WA 98418-6907
Phone
(253) 208-9456
Fax
(253) 476-0166
NPI assigned
Sep 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD00013066 WA Primary

Addresses

Primary practice location

3201 Pacific Ave
Unit 1108
Tacoma, WA 98418-6907

Mailing address

3201 Pacific Ave
Unit 1108
Tacoma, WA 98418-6907
Phone (253) 208-9456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00013066WAMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1770833857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PACIFIC AVE",
            "address_2": "UNIT 1108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186907",
            "telephone_number": "253-208-9456",
            "fax_number": "253-476-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PACIFIC AVE",
            "address_2": "UNIT 1108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186907",
            "telephone_number": "253-208-9456",
            "fax_number": "253-476-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANT",
        "first_name": "JONATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00013066",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2012; 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.