Organization Active NPI

Electrodiagnosis & Rehabilitation Associates of Tacoma, PS

  • Specialist
  • Federal Way, WA
National Provider Identifier
1780919118
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
Practice address
34617 11TH PL S
Suite 101
Federal Way, WA 98003-8706
Phone
(253) 927-8008
Fax
(253) 572-0468
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Mohammad A Saeed, MDNPI 1184680845
Title
President
Phone
(253) 272-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

34617 11TH PL S
Suite 101
Federal Way, WA 98003-8706

Mailing address

2201 S 19TH St
Suite 104
Tacoma, WA 98405-2962
Phone (253) 272-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000234 WA Part B Supplier - Clinic/Group Practice 5597652677 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Federal Way, WA; Tacoma, WA; Olympia, WA; Lakewood, WA; Gig Harbor, WA; Covington, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

700 S 320th St
Ste D
Federal Way, WA 98003
Phone (253) 880-1029

Practitioners & affiliated clinicians

Practitioners 2

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": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1780919118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S 19TH ST",
            "address_2": "SUITE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052962",
            "telephone_number": "253-272-9994",
            "fax_number": "253-572-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S",
            "address_2": "SUITE 101",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-927-8008",
            "fax_number": "253-572-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-272-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.