SOUTH PUGET SOUND NEUROLOGY, PLLC (NPI# 1194052357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194052357 |
| Entity Type | Organization |
| Organization Name | SOUTH PUGET SOUND NEUROLOGY, PLLC |
| Practice Address |
2201 S 19th St Suite 200 Tacoma WA 98405-2962 |
| Practice Telephone | 2536273547 |
| Practice Fax Number | 2532724771 |
| Mailing Telephone | 2536273547 |
| Mailing Fax Number | 2532724771 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | ANGELA C MARICLE (BILLING) |
| Authorized Official Telephone | 2536273547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OP00000793 | WA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SOUTH PUGET SOUND NEUROLOGY, PLLC | 2201 S 19th St Ste 200, Tacoma, WA 98405 |
| Street Address |
2201 S 19TH ST SUITE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759302 | Andrew S Hwang | Specialist | 2201 S 19th St, Ste 201, Tacoma, WA 98405-2961 | 2005-06-08 |
| 1821422106 | Reproductive Genetics and Fertility | Medical Genetics | 2201 S 19th St, Tacoma, WA 98405-2962 | 2013-08-22 |
| 1841402427 | Aloha Air Services | Durable Medical Equipment & Medical Supplies | 2201 S 19th St, Suite 207, Tacoma, WA 98405-2962 | 2007-05-04 |
| 1609090836 | Bruce Alan Eather | Psychologist | 2201 S 19th St, Suite 201, Tacoma, WA 98405-2962 | 2007-04-12 |
| 1104958693 | Rex Martin Alvord Jr. | Family Medicine | 2201 S 19th St, Tacoma, WA 98405-2962 | 2007-03-10 |
| 1255474599 | Pediatric Neurology Associates Ps | Psychiatry & Neurology | 2201 S 19th St, Suite 205, Tacoma, WA 98405-2962 | 2007-02-15 |
| 1871649285 | Patrick J. Hogan IIi, D.o. | Psychiatry & Neurology | 2201 S 19th St, Suite 200, Tacoma, WA 98405-2962 | 2007-01-26 |
| 1194871558 | Tacoma Neurological Associates Inc Ps | Psychiatry & Neurology | 2201 S 19th St, Suite 205, Tacoma, WA 98405-2962 | 2007-01-26 |
| 1730233586 | Robert Timothy Spiro | Pediatrics | 2201 S 19th St, Tacoma, WA 98405-2962 | 2007-01-22 |
| 1356309363 | Robert Z Mclees | Obstetrics & Gynecology | 2201 S 19th St, Ste #101, Tacoma, WA 98405-2962 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1346403383 | Stacy L. Donlon | Psychiatry & Neurology | 915 6th Ave Ste 100, Tacoma, WA 98405-4682 | 2008-07-09 |
| 1316114184 | Edward Tay | Psychiatry & Neurology | 209 Martin Luther King Jr. Way, Group Health Cooperative, Tacoma Specialty Center Neuro, Tacoma, WA 98405 | 2008-05-12 |
| 1023297769 | Cristina Cruz-crespo | Psychiatry & Neurology | Madigan Army Medical Center-neurology, 9040a Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2007-10-30 |
| 1114990587 | Jay C. Erickson | Psychiatry & Neurology | 1608 S J St Fl 5, Tacoma, WA 98405-4930 | 2006-02-08 |
| 1831177922 | Keyi Yang | Psychiatry & Neurology | 1708 So. Yakima Ave, Ste 118, Tacoma, WA 98405-5307 | 2006-01-09 |
| 1275530859 | John Robert Huddlestone | Psychiatry & Neurology | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2005-06-28 |
| 1205290368 | Keith Andrew Groshans | Psychiatry & Neurology | 9040 Jackson Ave, Tacoma, WA 98431-0004 | 2016-04-05 |
| 1568889731 | Derek Ting Yu | Psychiatry & Neurology | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2014-03-25 |
| 1205271442 | James Joseph Gutierrez | Psychiatry & Neurology | 209 Martin Luther King Jr Way, Tacoma, WA 98405 | 2013-05-01 |
| Find all providers in TACOMA | ||||
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| 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.