Individual Healthcare Provider
Peter Abraham Rosenblum, PAC
Provider's NPPES record last updated: March 2, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1043408503
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Tacoma, Washington
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:21 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Washington)
- PA60413047
Practice Locations
Practice Location
3124 S 19th St Ste C220
Tacoma, Washington 98405-2481
Phone: (253) 301-5050
Additional Practice Location
1950 Nw Myhre Rd Fl 2
Silverdale, Washington 98383-7662
Phone: (564) 240-4110
Fax: (564) 240-4088
Additional Practice Location
34509 9th Ave S Ste 204
Federal Way, Washington 98003-8708
Phone: (253) 835-5510
Fax: (253) 835-5511
Record Information
- Enumeration Date
- October 10, 2007
- Provider's NPPES Record Last Updated
- March 2, 2026
- Certification Date
- March 2, 2026
- NPISignal NPPES Dataset
- August 2026
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