| Matthew Nathan, DO | |
|
6520 226th Pl Se Ste 100, Issaquah, WA 98027-7365 | |
| (425) 394-1680 | |
| (425) 394-1674 |
| Full Name | Matthew Nathan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6520 226th Pl Se Ste 100, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598385601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OP61558014 (Washington) | Primary |
| Entity Name | The Polyclinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Nathan, DO Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Matthew Nathan, DO 6520 226th Pl Se Ste 100, Issaquah, WA 98027-7365 Ph: (425) 394-1680 |
Linda S Hung, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029 Phone: 425-391-7337 Fax: 425-391-3915 |
Haejun Cecilia Ahn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 Phone: 425-313-7088 Fax: 425-394-0757 |
Kathrine Ryan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029 Phone: 425-391-7337 Fax: 425-391-3915 |
Troy Yi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6520 226th Pl Se Ste 100, Issaquah, WA 98027 Phone: 425-394-1680 Fax: 425-394-1674 |
Tracie O'neill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Ne High Street, Suite #200, Issaquah, WA 98029 Phone: 425-391-7337 Fax: 425-391-3915 |
Mrs. Tiffany Lynne Herr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 Phone: 425-394-0701 |
Dr. Sung Eun Park, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 Nw Gilman Blvd Ste 8, Issaquah, WA 98027 Phone: 425-357-7082 Fax: 425-437-5259 |