ANTHONY PAUL CARUSO, MD - NPI NUMBER 1013913938

Summary

Provider Name: ANTHONY PAUL CARUSO, MD

NPI Number: 1013913938

Clasification: Urology (208800000X)

Organization: SURGICAL ASSOCIATES NORTHWEST, P.C.

Address:
34612 6TH AVE S
SUITE 210
FEDERAL WAY, WA
ZIP 98003

Phone Number: (253) 927-1882



Detailed Information

Anthony Paul Caruso, MD is an urologist in Federal Way, WA with 20 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. The assigned NPI number for this provider is 1013913938 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year: 1994

The provider's business address is:

34612 6TH AVE S
SUITE 210
FEDERAL WAY, WA
ZIP 98003-723
Phone: (253) 927-1882
Fax: (253) 927-1439

The enumeration date for this NPI number is 6/24/2005 and was last updated on 11/28/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208800000X Urology MD00038407 WA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 H17369 MEDICARE UPIN
2 7125081 MEDICAID WA
3 GAB12536 MEDICARE PIN WA
4 1427128198 OTHER WA GROUP NPI

NPI Record

No. Field Name Field Value
1 NPI 1013913938
2 Entity Type Code 1
3 Provider Last Name Legal Name CARUSO
4 Provider First Name ANTHONY
5 Provider Middle Name PAUL
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 34612 6TH AVE S
8 Provider Second Line Business Practice Location Address SUITE 210
9 Provider Business Practice Location Address City Name FEDERAL WAY
10 Provider Business Practice Location Address State Name WA
11 Provider Business Practice Location Address Postal Code 980038723
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2539271882
14 Provider Business Practice Location Address Fax Number 2539271439
15 Provider Enumeration Date 6/24/2005
16 Last Update Date 11/28/2007
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 208800000X
19 Provider License Number 1 MD00038407
20 Provider License Number State Code 1 WA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 H17369
23 Other Provider Identifier Type Code 1 02
24 Other Provider Identifier 2 7125081
25 Other Provider Identifier Type Code 2 05
26 Other Provider Identifier State 2 WA
27 Other Provider Identifier 3 GAB12536
28 Other Provider Identifier Type Code 3 08
29 Other Provider Identifier State 3 WA
30 Other Provider Identifier 4 1427128198
31 Other Provider Identifier Type Code 4 01
32 Other Provider Identifier State 4 WA
33 Other Provider Identifier Issuer 4 GROUP NPI
34 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.