Physicians Hospital Services II. PLLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

2084A0401X Issued in WA

Legal business name

PHYSICIANS HOSPITAL SERVICES II. PLLC

Practice address

12101 Ambaum Boulevard SW
Seattle, WA 98146

Phone

(206) 244-8100

Fax

(206) 431-9142

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Walter Smith, M.D.

Title

President

Phone

(206) 244-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Hospital Services Former legal business name

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1982771135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48077",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981480077",
            "telephone_number": "206-244-8100",
            "fax_number": "206-431-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 AMBAUM BOULEVARD SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98146",
            "telephone_number": "206-244-8100",
            "fax_number": "206-431-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOSPITAL SERVICES II. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-244-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "WA",
            "license": "2084A0401X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "S592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Hospital Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Special Hospital in Seattle, WA
• Providers in Seattle, WA by specialty
• Special Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.