Scott John Soeder, LCO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

OI00000084 Issued in WA

Practice address

1420 3Rd St SE
Suite 108
Puyallup, WA 98372-3730

Phone

(253) 840-0227

Fax

(253) 840-1176

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1821056169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 3RD ST SE",
            "address_2": "SUITE 108",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723730",
            "telephone_number": "253-840-0227",
            "fax_number": "253-840-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 3RD ST SE",
            "address_2": "SUITE 108",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723730",
            "telephone_number": "253-840-0227",
            "fax_number": "253-840-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEDER",
        "first_name": "SCOTT",
        "middle_name": "JOHN",
        "credential": "LCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthotist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Orthotist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.