Active NPI
Deborah J Ayars MD
- Pediatric Adolescent Medicine Physician
- Tacoma, WA
National Provider Identifier
1992881510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD00026169
- Legal business name
- DEBORAH J AYARS MD
- Practice address
- 1901 S Union Ave
#B1010
Tacoma, WA 98405 - Phone
- (253) 572-5971
- Fax
- (253) 572-5987
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanna R Dupea
- Title
- Credentialing
- Phone
- (253) 572-5971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD00026169 | WA | Primary |
Addresses
Primary practice location
1901 S Union Ave
#B1010
Tacoma, WA 98405
Mailing address
1901 S Union Ave
#B1010
Tacoma, WA 98405
Phone (253) 572-5971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7078967 | Medicaid | WA | |
| PO7221 | Other | WA | REGENCE BLUESHIELD |
Other names 1
- Commencement Bay Pediatrics
National Provider Directory
National Provider DirectoryLocations
1901 S Union Ave
Ste B1010
Tacoma, WA 98405
Phone (253) 572-5971
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Tacoma, WA
- NPI 1164508792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1992881510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"address_2": "#B1010",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-572-5971",
"fax_number": "253-572-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"address_2": "#B1010",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-572-5971",
"fax_number": "253-572-5987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH J AYARS MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "DUPEA",
"authorized_official_first_name": "SHANNA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "253-572-5971"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WA",
"license": "MD00026169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7078967",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "PO7221",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Commencement Bay Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 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.