Patricia Ann Charochak, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OP00000826 Issued in WA

Practice address

11306 172ND St CT E
Puyallup, WA 98374-9421

Phone

(253) 307-8178

Fax

(360) 893-7399

NPI assigned

Aug 13, 2006

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1992717078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 172ND ST CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749421",
            "telephone_number": "253-307-8178",
            "fax_number": "253-881-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 172ND ST CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749421",
            "telephone_number": "253-307-8178",
            "fax_number": "360-893-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAROCHAK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP00000826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00000826",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "OP00000826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinard Chao, PHARMD
• Justin Edward Chapin
• Megan Lynn Charboneau, MD
• Sophia Elizabeth Charitou, RDN
• Megan Erin Leilani Charles
• Analisa Chase
• Phuong My Chau, PH.D.
• Amber Deann Chavez
• Christine Chung Chavez, PHARMD
• Simranjit Chavez

• Gynecology Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.