MYONG J ROE


Address: 33507 9th Ave S Ste A, Federal Way, WA 98003-6397
Phone: 2538745404

MYONG J ROE (NPI# 1073522322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073522322
Entity Type Individual
Full Name MYONG J ROE
Credential MD
Practice Address 33507 9th Ave S Ste A
Federal Way
WA 98003-6397
Practice Telephone 2538745404
Practice Fax Number 2538748964
Mailing Telephone 2538745404
Mailing Fax Number 2538748964
Enumeration Date 2006-08-05
Last Update Date 2020-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD00015716 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA MEDICARE RAILROAD 500025320 01
WA STATE L&I 0175168 01
WA 8370850 05
WA STATE CRIME VICTIMS 8933886 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
8511 S Tacoma Way # 200, Lakewood, WA 984996521 2535884015 2535884035

Office Location

Street Address 33507 9TH AVE S STE A
City FEDERAL WAY
State WA
Zip Code 98003-6397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740712462 Kaylee Yu Internal Medicine 33507 9th Ave S Ste A, Federal Way, WA 98003-6397 2017-03-31
1811363195 Grace Miran Park Nurse Practitioner 33507 9th Ave S Ste A, Federal Way, WA 98003-6397 2015-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634969 Jossie Jeniffer Wong-vicuna Interpreter 3001 S 288th Street, 201, Ferderal Way, WA 98003 2020-09-17
1336642420 Otto Family Massage Therapist 720 S 348th St Ste A-1b, Federal Way, WA 98003 2018-03-14
1962912709 Lindsay Plumley Occupational Therapist 33330 8th Avenue S, Federal Way, WA 98003 2017-10-06
1861922387 Sea Mar Community Health Centers Pharmacy 31405 18th Ave South, Federal Way, WA 98003 2017-06-18
1023547072 Iora Health Washington Physicians, P.C. Internal Medicine 1414 S. 324th Street, Federal Way, WA 98003 2017-06-05
1811346869 Iora Senior Health Inc Internal Medicine 1414 S 324th St, Federal Way, WA 98003 2016-06-10
1972958940 Kathy Marie Haviland Registered Nurse 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 2016-04-27
1972969343 Jacklyn Marie James Specialist 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 2016-01-14
1659767036 Jillian Liner Pediatrics 34503 9th Ave S Ste 220, Federal Way, WA 98003 2015-04-12
1235537739 Simranjit Singh Longia Student in an Organized Health Care Education/Training Program 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 2014-12-15
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093000101 Amanda C Savery Obstetrics & Gynecology 34709 Ninth Ave South, Suite B500, Federal Way, WA 98003 2011-06-16
1538488507 Michael B Smith Md Obstetrics & Gynecology 700 S 320th St Ste B, Federal Way, WA 98003-4691 2010-05-28
1609959857 Michael S Davidov Obstetrics & Gynecology 34509 9th Avenue South, #207, Federal Way, WA 98003 2006-10-23
1760417885 Anja Crider Obstetrics & Gynecology 900 S 336th St, Federal Way, WA 98003-6311 2006-07-11
1447252507 Karen S Himebaugh Obstetrics & Gynecology 34709 9th Ave S Ste B500, Federal Way, WA 98003 2005-06-02
1598198442 Kayli Lynn Senz Obstetrics & Gynecology 34709 9th Ave S Ste B500, Federal Way, WA 98003-6789 2013-08-14
1124462791 Lindsay Ann Parker Obstetrics & Gynecology 34709 9th Ave S Ste B500, Federal Way, WA 98003 2013-04-24
1841552148 Franciscan Medical Group Obstetrics & Gynecology 34503 9th Ave S, Ste 330, Federal Way, WA 98003-8727 2012-06-12
1720375405 Franciscan Medical Group Obstetrics & Gynecology 34709 9th Ave S, Ste B-500, Federal Way, WA 98003-8722 2011-07-01
1275854119 Denise Frances Carnegie Obstetrics & Gynecology 34709 9th Ave S, Suite B-500, Federal Way, WA 98003-8722 2010-06-15
Find all providers in FEDERAL WAY

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City FEDERAL WAY
Zip Code 98003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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