Dr. Edward Gregory Devita , MD
Specialist • Puyallup, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Devita has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edward Devita, MD was a registered Specialist practicing in Puyallup, WA. Throughout an active medical career spanning 17 years, Dr. Devita provided care at the practice location at 205 15TH AVE SW until profile deactivation on 2023-01-04.
Practice Location & Contact Primary Location
205 15th Ave Sw
Suite C
Puyallup, WA 983717873
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Puyallup, WA
Practicing in Puyallup, WA (2751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Behavior Technician
Behavior Technician
Behavior Technician
Behavior Technician
Behavior Technician
Speech-Language Pathologist
Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 04, 2023
NPI status registered as active in NPPES database
Registered at 205 15TH AVE SW, SUITE C, PUYALLUP, WA 983717873 (Tel: 2538413077)
Registered at 205 15TH AVE SW, SUITE C, PUYALLUP, WA 983717873 (Tel: 2538413077)
Recorded as EDWARD DEVITA, M.D.
Specialist (License #0028694 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
205 15th Ave Sw, Suite C
Puyallup, WA 983717873
Phone: 2538413077
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