JOHN N DIACONOU MD PS NPI 1760657142

NPI Information

  • NPI: 1760657142
  • Provider Name: JOHN N DIACONOU MD PS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 34509 9TH AVE S
    SUITE 102
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 833-8032

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NPI Details

JOHN N DIACONOU MD PS is a specialist in Federal Way, 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. JOHN N DIACONOU MD PS NPI is 1760657142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34509 9TH AVE S
SUITE 102
FEDERAL WAY, WA
ZIP 98003-700
Phone: (253) 833-8032

The provider's authorized official is Marilyne Tweit .
The authorized official title is Clinic Manager and has the following contact phone number (253) 833-8032.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 5/2/2008.

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
1174400000XSpecialistMD00018742WASHINGTONYes

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
1GAB25049MEDICARE PINWASHINGTON
20152713OTHERWASHINGTONLABOR AND INDUSTRIES
3D522OTHERWASHINGTONREGENCE BLUE SHIELD
4A15027MEDICARE UPINWASHINGTON
51779008MEDICAIDWASHINGTON

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: 11/21/2025

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