DR. SHAUN PHILLIP SMITH M.D. NPI 1073066916

NPI Information

  • NPI: 1073066916
  • Provider Name: DR. SHAUN PHILLIP SMITH, M.D.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 S 320TH ST
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 874-7000

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NPI Details

DR. Shaun Phillip Smith, M.D. is a clinic center in Federal Way, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR. Shaun Phillip Smith, M.D. NPI is 1073066916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 S 320TH ST
FEDERAL WAY, WA
ZIP 98003-200
Phone: (253) 874-7000

The NPI 1073066916 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 7/27/2016 and was last updated on 10/17/2022.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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