Active NPI
Kirk Rue, MD
- Anesthesiology Physician
- Tacoma, WA
National Provider Identifier
1982671376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 16520
- Practice address
- 3633 Pacific Ave
Suite 204
Tacoma, WA 98418-7900 - Phone
- (253) 274-1668
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 16520 | WA | Primary |
Addresses
Primary practice location
3633 Pacific Ave
Suite 204
Tacoma, WA 98418-7900
Mailing address
3633 Pacific Ave
Suite 204
Tacoma, WA 98418-7900
Phone (253) 274-1668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8130338 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16520 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1982671376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 PACIFIC AVE",
"address_2": "SUITE 204",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187900",
"telephone_number": "253-274-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 PACIFIC AVE",
"address_2": "SUITE 204",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187900",
"telephone_number": "253-274-1668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUE",
"first_name": "KIRK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "16520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8130338",
"state": "WA"
}
],
"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 Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.