Stephanie P Acierno, MD
Individual provider Active NPI Surgery Physician · Tacoma, WA
NPI 1841398534 · NPPES record last updated Dec 9, 2011
Key facts
- NPI
- 1841398534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD00043770 (WA)
- Practice address
- 311 S L St
Tacoma, WA 98405-3720 - Phone
- (253) 403-4613
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090724000696 | WA | Practitioner - General Surgery |
4284787136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00043770 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- saciernomd7603@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00043770 | WA | Yes |
Addresses
Primary practice location
311 S L St
Tacoma, WA 98405-3720
Mailing address
311 S L St
Tacoma, WA 98405-3720
Phone (253) 403-4613
Other providers in Tacoma, WA
- Elizabeth Catherine Aceves
- Carmen A Acfalle
- Achieve Rehabilitation, Inc.
- Achieve Wa LLC
- Hailun Achtelstetter
- Karen Ackerman
- Laci Leigh Ackerman
- Aida Jaqueline Acosta Quintana
- Diane Acosta
- Acrobat Doc PLLC
All providers in Tacoma, WA · Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.