Active NPI
Paul J Amoroso, MD, MPH
- Aerospace Medicine Physician
- Tacoma, WA
National Provider Identifier
1851356133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 56723
- Practice address
- Credententials Office Madigan Army Medical Ctr
9040 Fitzsimons Drive, Attn: MCHJ-Ci
Tacoma, WA 98431-0001 - Phone
- (253) 968-1160
- Fax
- (253) 399-2882
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 56723 | MA | Primary |
Addresses
Primary practice location
Credententials Office Madigan Army Medical Ctr
9040 Fitzsimons Drive, Attn: MCHJ-Ci
Tacoma, WA 98431-0001
Mailing address
9040 Fitzsimons Drive, Attn: MCHJ-Ci
Credentential'S Office, Madigan Army Medical Center
Tacoma, WA 98431
Phone (253) 968-1160
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 |
|---|---|---|---|
| 56723 | MA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1851356133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 FITZSIMONS DRIVE, ATTN: MCHJ-CI",
"address_2": "CREDENTENTIAL'S OFFICE, MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-1160",
"fax_number": "253-399-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CREDENTENTIALS OFFICE MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 FITZSIMONS DRIVE, ATTN: MCHJ-CI",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-1160",
"fax_number": "253-399-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOROSO",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "MA",
"license": "56723",
"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 Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.