Summit View Clinic, Inc., P.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUMMIT VIEW CLINIC, INC., P.S.

Practice address

11019 Canyon Rd E
Suite a
Puyallup, WA 98373-4298

Phone

(253) 537-0293

Fax

(253) 537-7650

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Warren E Miller, M.D.

Title

Ceo

Phone

(253) 537-0293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1871513291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 CANYON ROAD EAST, SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734298",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734298",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VIEW CLINIC, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-537-0293",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.