NPIMap

Organization Active NPI

Pace Dermatology Associates, PLLC

  • Dermatology Physician
  • Tacoma, WA
National Provider Identifier
1922398585
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PACE DERMATOLOGY ASSOCIATES, PLLC
Practice address
1901 S Union Ave
Suite B 3003
Tacoma, WA 98405-1702
Phone
(253) 572-2842
Fax
(253) 572-2856
NPI assigned
Apr 15, 2011
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Dr. Aaron K Pace, MDNPI 1760646129
Title
Ower/Physician
Phone
(253) 572-2842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

1901 S Union Ave
Suite B 3003
Tacoma, WA 98405-1702

Mailing address

1901 S Union Ave
Suite B 3003
Tacoma, WA 98405-1702
Phone (253) 572-2842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110909002697 WA Part B Supplier - Clinic/Group Practice 5193995777 Receives reassigned benefits from 18 practitioners
Practice locations: Tacoma, WA; Lakewood, WA; Puyallup, WA

National Provider Directory

National Provider Directory

Locations

7502 Lakewood Dr W
Ste A
Lakewood, WA 98499
Phone (253) 572-2842

1910 S Meridian
Puyallup, WA 98371
Phone (253) 572-2842

1802 S Union Ave
Tacoma, WA 98405
Phone (253) 572-2842

5901 Steilacoom Blvd SW
Tacoma, WA 98499
Phone (253) 363-9199

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1922398585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B 3003",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-572-2842",
            "fax_number": "253-572-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE B 3003",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-572-2842",
            "fax_number": "253-572-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE DERMATOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWER/PHYSICIAN",
        "authorized_official_telephone_number": "253-572-2842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.