Organization Active NPI

Puget Sound Rehabilitation Medicine

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
National Provider Identifier
1790785236
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD0024397 Issued in WA
Legal business name
PUGET SOUND REHABILITATION MEDICINE
Practice address
1600 E Jefferson St Ste A4
Seattle, WA 98122-5656
Phone
(206) 320-2600
Fax
(206) 320-4054
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
David Roger Clawson, MD
Title
Physician
Phone
(206) 320-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD0024397 WA Primary

Addresses

Primary practice location

1600 E Jefferson St Ste A4
Seattle, WA 98122-5656

Mailing address

1600 E Jefferson St Ste A4
Seattle, WA 98122-5656
Phone (206) 320-2600

Other identifiers 1

IdentifierTypeStateIssuer
1055623MedicaidWA

Other names 1

  • David R Clawson, MD Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1790785236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE A4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225656",
            "telephone_number": "206-320-2600",
            "fax_number": "206-320-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST STE A4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225656",
            "telephone_number": "206-320-2600",
            "fax_number": "206-320-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND REHABILITATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "CLAWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-320-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD0024397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055623",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David R Clawson, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.