| Fremont Family Practice LLC | |
|
6804 Greenwood Ave N Seattle WA 98103-5228 | |
| (206) 257-7380 | |
| Not Available |
| Full Name | Fremont Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6804 Greenwood Ave N, Seattle, Washington |
| Authorized Official Name and Position | David Harvey (MEDICAL DOCTOR) |
| Authorized Official Contact | 2062577380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Family Practice LLC 4464 Fremont Ave N Suite 103 Seattle WA 98103-7273 | Fremont Family Practice LLC 6804 Greenwood Ave N Seattle WA 98103-5228 Ph: (206) 257-7380 |
| NPI Number | 1871640581 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 4981696382 |
|---|---|
| Medicare Enrollment ID | O20040402000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871640581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 602228609 (Washington) | Primary |
| Provider Name | Eric Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831279819 PECOS PAC ID: 3678550936 Enrollment ID: I20040706000025 |
| Provider Name | Elizabeth Conroy Bayley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861408825 PECOS PAC ID: 0840291266 Enrollment ID: I20070126000366 |
| Provider Name | Peter N Grote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194813600 PECOS PAC ID: 7719085455 Enrollment ID: I20070605000060 |
| Provider Name | Reena a Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891963468 PECOS PAC ID: 9830263011 Enrollment ID: I20080806000313 |
| Provider Name | Rowena Lily Bel P Reyrao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376566794 PECOS PAC ID: 5991834475 Enrollment ID: I20100520000868 |
| Provider Name | Megan J Melo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134327414 PECOS PAC ID: 1850585373 Enrollment ID: I20101028001150 |
| Provider Name | David a Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427169911 PECOS PAC ID: 4789676180 Enrollment ID: I20120119000950 |
| Provider Name | Kjersten Gmeiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922151612 PECOS PAC ID: 7113088725 Enrollment ID: I20140610002119 |
| Provider Name | Risa Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491251 PECOS PAC ID: 6608155619 Enrollment ID: I20161115002486 |
| Provider Name | Elizabeth M Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538601927 PECOS PAC ID: 3678853355 Enrollment ID: I20161215001244 |
| Provider Name | Margaret J Loewen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689759490 PECOS PAC ID: 1254318967 Enrollment ID: I20220815003622 |
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