Provider Demographics
NPI:1235359688
Name:FEDERAL WAY FAMILY PHYSICIANS
Entity Type:Organization
Organization Name:FEDERAL WAY FAMILY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-927-9460
Mailing Address - Street 1:34616 11TH PLACE SOUTH
Mailing Address - Street 2:SUITE #4
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8705
Mailing Address - Country:US
Mailing Address - Phone:253-927-9460
Mailing Address - Fax:253-927-2168
Practice Address - Street 1:34616 11TH PLACE SOUTH
Practice Address - Street 2:SUITE #4
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8705
Practice Address - Country:US
Practice Address - Phone:253-927-9460
Practice Address - Fax:253-927-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00015576207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7066509Medicaid
WAA234OtherALLEN C ALLEMAN MD
WAR727OtherJAMES L ROSCETTI MD
WA42502OtherALLEN C ALLEMAN MD
WAZ190OtherJOY L ZIEMANN MD
WA1228808Medicaid
WA42503OtherJOY L ZIEMANN MD
WA1228907Medicaid
WA42501OtherJAMES L ROSCETTI MD
WA1490804Medicaid
WA7066509Medicaid
WAR727OtherJAMES L ROSCETTI MD
WA1228907Medicaid