DR. OVIDIO MOISES PENALVER MD PS NPI 1457357964

NPI Information

NPI: 1457357964
Provider Name: DR. OVIDIO MOISES PENALVER, MD, PS
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
319 5TH ST SW
PUYALLUP, WA
ZIP 98371
Phone: (253) 848-0351
Get Directions

DR. Ovidio Moises Penalver, MD, PS is a specialist in Puyallup, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Ovidio Moises Penalver, MD, PS NPI is 1457357964. 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:

319 5TH ST SW
PUYALLUP, WA
ZIP 98371-828
Phone: (253) 848-0351
Fax: (253) 841-1397

The enumeration date for this NPI number is 6/21/2005 and was last updated on 7/8/2007.

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	174400000X	Specialist		MD00015660	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	7110653	MEDICAID	WASHINGTON
2	A08563	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

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.

« Previous NPI

Next NPI »