Individual provider Active NPI

Stephen Haim King, MD

  • Urology Physician
  • Federal Way, WA
National Provider Identifier
1891897468
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ML20007349 Issued in WA
Practice address
34612 6TH Ave S Ste 110
Federal Way, WA 98003-8723
Phone
(253) 927-1882
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ML20007349 WA Primary

Addresses

Primary practice location

34612 6TH Ave S Ste 110
Federal Way, WA 98003-8723

Mailing address

34612 6TH Ave S Ste 110
Federal Way, WA 98003-8723
Phone (253) 927-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000429 WA Practitioner - Urology 2264590975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Irvine, California College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates Northwest PCGroup PAC ID 3971596024, 13 clinicians

Practice addresses (Care Compare)

202 Division St N
Suite 100
Auburn, WA 98001-4939
Phone (253) 833-3555

34612 6TH Ave S
Federal Way, WA 98003-8723

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ML20007349WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates Northwest, PC CurrentSince Oct 1, 2008 Accepting new patients
Surgical Associates Northwest, P.C. Urology CurrentSince Oct 1, 2008 Accepting new patients

Locations

202 N Division St
Ste 100
Auburn, WA 98001
Phone (253) 223-0515

34612 6th Ave S
Ste 200
Federal Way, WA 98003
Phone (253) 661-2594

34612 6th Ave S
Ste 210
Federal Way, WA 98003
Phone (253) 927-1882

34612 6th Ave S
Ste 110
Federal Way, WA 98003
Phone (253) 661-2594

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • Direct secure messaging: stephenking@sa.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1354752000000",
    "number": "1891897468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S STE 110",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-927-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34612 6TH AVE S STE 110",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038723",
            "telephone_number": "253-927-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "STEPHEN",
        "middle_name": "HAIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "ML20007349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.