Active NPI
Charles Speakman Paxson, M.D.
- Rheumatology Physician
- Tacoma, WA
National Provider Identifier
1801998497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 12940
- Practice address
- 9600 Veterans Dr SW
Tacoma, WA 98493-5000 - Phone
- (253) 582-8440
- Fax
- (253) 589-4028
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 12940 | WA | Primary |
Addresses
Primary practice location
9600 Veterans Dr SW
Tacoma, WA 98493-5000
Mailing address
503 Alder Ave
Sumner, WA 98390-1323
Phone (253) 863-3912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12940 | WA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801998497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 ALDER AVE",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901323",
"telephone_number": "253-863-3912",
"fax_number": "253-863-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984935000",
"telephone_number": "253-582-8440",
"fax_number": "253-589-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAXSON",
"first_name": "CHARLES",
"middle_name": "SPEAKMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WA",
"license": "12940",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.