DR. CLARE ZENO ANDERSEN M.D. NPI 1154385292

NPI Information

NPI: 1154385292
Provider Name: DR. CLARE ZENO ANDERSEN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
222 15TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-4353
Get Directions

DR. Clare Zeno Andersen, M.D. is a diagnostic radiology radiology in Puyallup, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Clare Zeno Andersen, M.D. NPI is 1154385292. 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:

222 15TH AVE SE
PUYALLUP, WA
ZIP 98372-754
Phone: (253) 841-4353
Fax: (253) 581-5698

The NPI 1154385292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 10/28/2016.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	MD00021933	WASHINGTON	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD00021933	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	73227	OTHER	WASHINGTON	L&I
2	1054210	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
3	8615601	MEDICAID	WASHINGTON
4	A08915	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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