Organization Active NPI

South Hill General Medical Clinic

  • General Practice Physician
  • Puyallup, WA
National Provider Identifier
1801827068
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOUTH HILL GENERAL MEDICAL CLINIC
Practice address
10209 136TH St E
South Hill General Medical Clinic
Puyallup, WA 98374
Phone
(253) 848-1535
Fax
(253) 848-6537
NPI assigned
Jul 6, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Andrew Man Kuen Tsoi, MD
Title
Owner
Phone
(253) 848-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10209 136TH St E
South Hill General Medical Clinic
Puyallup, WA 98374

Mailing address

10209 136TH St E
South Hill General Medical Clinic
Puyallup, WA 98374
Phone (253) 848-1535

Other identifiers 1

IdentifierTypeStateIssuer
7252901MedicaidWA

National Provider Directory

National Provider Directory

Locations

10209 136th St E
South Hill, WA 98374
Phone (253) 848-1535

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1801827068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 136TH ST E",
            "address_2": "SOUTH HILL GENERAL MEDICAL CLINIC",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98374",
            "telephone_number": "253-848-1535",
            "fax_number": "253-848-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 136TH ST E",
            "address_2": "SOUTH HILL GENERAL MEDICAL CLINIC",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98374",
            "telephone_number": "253-848-1535",
            "fax_number": "253-848-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL GENERAL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "TSOI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MAN KUEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-848-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7252901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.