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SOUTH PUGET SOUND NEUROLOGY, PLLC
NPI 1194052357
Psychiatry & Neurology - Neurology in Tacoma, WA

Active since November 09, 2009CLIA 50D2064549 · Waiver
5006 CENTER STREET, SUITE U, TACOMA, WA 98409(253) 284-4488(253) 272-4771 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Puget Sound Neurology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PUGET SOUND NEUROLOGY, PLLC (NPI 1194052357) is a healthcare organization registered as a neurology in Tacoma, Washington and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Patrick J Hogan Iii, President/physician, as its authorized official.

NPPES Registry Identity

NPI1194052357
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSOUTH PUGET SOUND NEUROLOGY, PLLC
Location Address5006 CENTER STREET, SUITE UTacoma, WA 98409-2314
Mailing Address5006 Center Street, Suite UTacoma, WA 98409-2314 · (253) 284-4488 · Fax (253) 272-4771
Phone(253) 284-4488
Fax(253) 272-4771
Organization SubpartNo
Authorized OfficialPatrick J Hogan IiiPresident/physician · (253) 284-4488
Enumeration DateNovember 9, 2009
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1194052357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · OP00000793
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedNurse PractitionerTaxonomy 363L00000X
5006 CENTER STREET, Tacoma, WA 98409
Open in Google Maps ↗

Other Identifiers 1

MedicaidG8801180WA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2064549

South Puget Sound Neurology · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2064549
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPatrick Hogan
Laboratory Phone(253) 284-4488
Laboratory LocationSouth Puget Sound Neurology5006 Center St Ste U, Tacoma, WA 98409
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Puget Sound Neurology, PLLC's NPI number?

The NPI number for South Puget Sound Neurology, PLLC is 1194052357. It was assigned to this organization in the NPPES registry on November 9, 2009.

Where is South Puget Sound Neurology, PLLC located?

South Puget Sound Neurology, PLLC is located at 5006 Center Street Suite U, Tacoma, WA 98409. The listed phone number is (253) 284-4488.

What is South Puget Sound Neurology, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does South Puget Sound Neurology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2064549) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Puget Sound Neurology, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list South Puget Sound Neurology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Puget Sound Neurology, PLLC was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.