Organization Active NPI

Deborah J Ayars MD

  • Pediatric Adolescent Medicine Physician
  • Tacoma, WA
National Provider Identifier
1992881510
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD00026169 Issued in WA
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

Updated by the provider on Sep 11, 2008

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)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7078967MedicaidWA
PO7221OtherWAREGENCE BLUESHIELD

Other names 1

  • Commencement Bay Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.