Active NPI
Wendy Leigh Heusch, DO
- Orthopaedic Surgery Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OP00002091
- Practice address
- 3801 5TH St SE
Suite 110
Puyallup, WA 98374-2106 - Phone
- (253) 845-9585
- Fax
- (253) 435-4785
- NPI assigned
- May 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OP00002091 | WA | Primary |
Addresses
Primary practice location
3801 5TH St SE
Suite 110
Puyallup, WA 98374-2106
Mailing address
805 Madison Street
Suite 901
Seattle, WA 98104
Phone (206) 264-8100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 5TH St SE
Suite 110
Puyallup, WA 98374-2106
Phone (253) 845-9585
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
- Tacoma General Allenmore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00002091 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Orthopaedic Surgery | Past | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Past | Accepting new patients | |
| Tuckahoe Orthopaedic Associates, LTD | Orthopaedic Surgery | Past | Accepting new patients |
Locations
20920 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 845-9585
3801 5th St SE
Ste 110
Puyallup, WA 98374
Phone (253) 845-9585
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- wendy.heusch.p83@direct.proliance.nextgenshare.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Otolaryngology Physician
- Puyallup, WA
- NPI 1407223985
-
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
-
- Orthopaedic Surgery Physician
- Puyallup, WA
- NPI 1952399123
-
- Orthopaedic Surgery Physician
- Richmond, VA
- NPI 1578578324
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1912958562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON STREET",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-264-8100",
"fax_number": "206-264-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 5TH ST SE",
"address_2": "SUITE 110",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742106",
"telephone_number": "253-845-9585",
"fax_number": "253-435-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUSCH",
"first_name": "WENDY",
"middle_name": "LEIGH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "OP00002091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.