PUYALLUP ENDOCRINE & NUCLEAR MEDICINE CLINICS (NPI# 1962525527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962525527 |
| Entity Type | Organization |
| Organization Name | PUYALLUP ENDOCRINE & NUCLEAR MEDICINE CLINICS |
| Practice Address |
1011 E Main Ave Suite 302 Puyallup WA 98372-6775 |
| Mailing Address |
1011 Main Ave E Ste 302 Puyallup WA 98372-6775 |
| Practice Telephone | 2538412471 |
| Practice Fax Number | 2538412472 |
| Mailing Telephone | 2538412471 |
| Mailing Fax Number | 2538412472 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | DR. DONALD F DEVRIES (PRESIDENT) |
| Authorized Official Telephone | 2538412471 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
601891662 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
601891662 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES GROUP# | 113381 | 01 |
| WA | 7093685 | 05 | |
| RAILROAD MEDICARE | CI9058 | 01 |
| Street Address |
1011 E MAIN AVE SUITE 302 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-6775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790748549 | Donald Fred Devries | Internal Medicine | 1011 E Main Ave, Suite 302, Puyallup, WA 98372-6775 | 2006-04-11 |
| 1508829367 | Irena Alexandra Wright | Nurse Practitioner | 1011 E Main Ave, Suite 302, Puyallup, WA 98372-6775 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790748549 | Donald Fred Devries | Internal Medicine | 1011 E Main Ave, Suite 302, Puyallup, WA 98372-6775 | 2006-04-11 |
| 1619482353 | Viewpoint Endocrinology | Internal Medicine | 1409 2nd St Se, Puyallup, WA 98372 | 2017-12-04 |
| 1912155706 | Robert R Kimmel Jr. | Internal Medicine | 1409 2nd St Se, Puyallup, WA 98372 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1497283287 | Shannon Casey | Internal Medicine | 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 | 2017-05-24 |
| 1255606489 | Lindsay Collins | Internal Medicine | 12303 Ne 130th Ln Ste 250, Kirkland, WA 98034-3072 | 2012-03-21 |
| 1295024727 | Qin Ouyang | Internal Medicine | 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 | 2011-04-05 |
| 1699078642 | Mary Margaret Higley Carbone | Internal Medicine | 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 | 2010-12-14 |
| 1881994028 | Swedish Edmonds | Internal Medicine | 21616 76 Ave W, Suite 212, Edmonds, WA 98026 | 2010-10-21 |
| 1699082909 | Aria Endocrinology | Internal Medicine | 12303 Ne 130th Lane, Suite 400, Evergreen Professional Center, Kirkland, WA 98034 | 2010-09-08 |
| 1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
| 1386958882 | Kadapalakere Pathalingappa Manjun Reddy | Internal Medicine | 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 | 2010-07-27 |
| 1679800932 | Arthi Thirumalai | Internal Medicine | 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 | 2009-11-06 |
| Find all providers with the same taxonomy | ||||
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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.