Active NPI
Cody Steven Balogh
- Medical Physician Assistant
- Tacoma, WA
National Provider Identifier
1780085183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PAIP.TA.60598403
- Practice address
- 315 Martin Luther King Jr Way
Tacoma, WA 98405-4234 - Phone
- (253) 403-1000
- NPI assigned
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PAIP.TA.60598403 | WA | Primary |
Addresses
Primary practice location
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Mailing address
PO Box 5215
Tacoma, WA 98415-0215
Phone (253) 403-8327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAIP.TA.60598403 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Emergency Care Physicians, PLLC | Current | Accepting new patients |
Locations
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Puyallup, WA
- NPI 1538104476
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1396498671
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1770823791
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1073854766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1780085183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5215",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150215",
"telephone_number": "253-403-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054234",
"telephone_number": "253-403-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALOGH",
"first_name": "CODY",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PAIP.TA.60598403",
"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 Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.