Organization Active NPI

Joy P. Ruiz-Molleston, M.D., PS

  • Addiction Medicine (Family Medicine) Physician
  • Lakewood, WA
National Provider Identifier
1992839906
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD00024942 Issued in WA
Legal business name
JOY P. RUIZ-MOLLESTON, M.D., PS
Practice address
7424 Bridgeport Way W Ste 301
Lakewood, WA 98499-8135
Phone
(253) 474-5141
Fax
(253) 474-5507
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Sonya J Elder
Title
Billing Manger
Phone
(360) 895-1521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X MD00024942 WA Primary

Addresses

Primary practice location

7424 Bridgeport Way W Ste 301
Lakewood, WA 98499-8135

Mailing address

5422 80TH Avenue CT W
Tacoma, WA 98467-3974
Phone (253) 565-6576

Other identifiers 3

IdentifierTypeStateIssuer
1084425MedicaidWA
0039287OtherWAL&I
RU5122OtherWAREGENCE

National Provider Directory

National Provider Directory

Locations

3716 Pacific Ave
Ste G
Tacoma, WA 98418
Phone (206) 474-5141

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1992839906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 80TH AVENUE CT W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673974",
            "telephone_number": "253-565-6576",
            "fax_number": "253-474-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W STE 301",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998135",
            "telephone_number": "253-474-5141",
            "fax_number": "253-474-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY P. RUIZ-MOLLESTON, M.D., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "360-895-1521"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00024942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084425",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0039287",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "RU5122",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.