NPIMap

Organization Active NPI

Cosmas Primary Care, P.S.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1780113530
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00048903 Issued in WA
Legal business name
COSMAS PRIMARY CARE, P.S.
Practice address
2115 S 56TH St Ste 103
Tacoma, WA 98409-6900
Phone
(253) 471-3193
NPI assigned
Jun 6, 2017
Last updated
Jun 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Dr. Roxanne Jui Ho, MDNPI 1083803258
Title
President
Phone
(817) 891-3123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 00048903 WA Primary

Addresses

Primary practice location

2115 S 56TH St Ste 103
Tacoma, WA 98409-6900

Mailing address

PO Box 64093
University Place, WA 98464-0093

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1780113530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64093",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984640093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S 56TH ST STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096900",
            "telephone_number": "253-471-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMAS PRIMARY CARE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "JUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-891-3123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00048903",
            "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 Jun 16, 2017; 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.