Organization Active NPI

Vincent N Muoneke MD PS

  • Plastic Surgery Physician
  • Burien, WA
National Provider Identifier
1942593165
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00027931 Issued in WA
Legal business name
VINCENT N MUONEKE MD PS
Practice address
16233 Sylvester Rd SW
Suite 280
Burien, WA 98166-3045
Phone
(206) 248-6992
Fax
(206) 248-7363
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Vincent N Muoneke, M.D., P.S.
Title
Owner
Phone
(206) 248-6992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X MD00027931 WA Primary
Ambulatory Surgical Clinic/Center 261QA1903X MD00027931 WA

Addresses

Primary practice location

16233 Sylvester Rd SW
Suite 280
Burien, WA 98166-3045

Mailing address

16233 Sylvester Rd SW
Suite 280
Burien, WA 98166-3045
Phone (206) 248-6992

Other identifiers 1

IdentifierTypeStateIssuer
1094879MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1942593165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 280",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-248-6992",
            "fax_number": "206-248-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 280",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-248-6992",
            "fax_number": "206-248-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT N MUONEKE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "MUONEKE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-248-6992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.S."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00027931",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "MD00027931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094879",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.