ELIZABETH ROSE ABECASSIS PA-C NPI 1669708277

NPI Information

NPI: 1669708277
Provider Name: ELIZABETH ROSE ABECASSIS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PROLIANCE SURGEONS INC PS

PECOS Registration: Yes

Address:
1519 3RD ST SE STE 230
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-9640
Get Directions

Elizabeth Rose Abecassis, PA-C is a surgical physician assistant in Puyallup, WA with 15 years of experience. Elizabeth Rose Abecassis, PA-C NPI is 1669708277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1519 3RD ST SE STE 230
PUYALLUP, WA
ZIP 98372-742
Phone: (253) 841-9640
Fax: (253) 841-7645

The NPI 1669708277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2009 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	363AM0700X	Physician Assistant	Medical	PA60118259	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA60118259	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004108	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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