| |
306 23rd Ave S Suite 200 Seattle WA 98144-2371 | |
(206) 518-9033 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 306 23rd Ave S, Seattle, Washington |
Authorized Official Name and Position | Suzanne Hansen (CHIEF MEDICARE PROGRAM OFFICER) |
Authorized Official Contact | 4158140927 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: () - | 306 23rd Ave S Suite 200 Seattle WA 98144-2371 Ph: (206) 518-9033 |
NPI Number | 1710386545 |
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Provider Enumeration Date | 08/18/2014 |
Last Update Date | 09/07/2023 |
Medicare PECOS PAC ID | 0143520189 |
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Medicare Enrollment ID | O20160111002301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710386545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lee D Burnside |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497744684 PECOS PAC ID: 7911918990 Enrollment ID: I20060505000809 |
Provider Name | Holly J Christoferson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639280191 PECOS PAC ID: 8729086814 Enrollment ID: I20061128000464 |
Provider Name | Margaret G Mercado |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932394673 PECOS PAC ID: 1759457781 Enrollment ID: I20080827000487 |
Provider Name | Jonathan E G Mcbride |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225135221 PECOS PAC ID: 6800894205 Enrollment ID: I20090916000213 |
Provider Name | Jeanette E Nyman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396831525 PECOS PAC ID: 3375685035 Enrollment ID: I20100119000789 |
Provider Name | Emily Danielle Bertani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396945713 PECOS PAC ID: 7214107085 Enrollment ID: I20140306002218 |
Provider Name | Marja Dempsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386893253 PECOS PAC ID: 4486714771 Enrollment ID: I20140730000946 |
Provider Name | Kannie Chim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689935736 PECOS PAC ID: 8527386176 Enrollment ID: I20150727000655 |
Provider Name | Kimberly C Valencia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457532558 PECOS PAC ID: 8628121134 Enrollment ID: I20151106000527 |
Provider Name | Karen Hye |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710348511 PECOS PAC ID: 1456648179 Enrollment ID: I20160923001499 |
Provider Name | Teresa Mcgrath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952739864 PECOS PAC ID: 0840599197 Enrollment ID: I20170712003226 |
Provider Name | Kirsten Hallstrom |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285150979 PECOS PAC ID: 2163788340 Enrollment ID: I20171102003526 |
Provider Name | David H Gellis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548580368 PECOS PAC ID: 2163795287 Enrollment ID: I20171117000969 |
Provider Name | Ashley E Bieker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790120608 PECOS PAC ID: 1254654841 Enrollment ID: I20180815004095 |
Provider Name | Rushika J Fernandopulle |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437130473 PECOS PAC ID: 9133192966 Enrollment ID: I20181217000109 |
Provider Name | Eric Lawrence Soriano |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194171041 PECOS PAC ID: 1850685447 Enrollment ID: I20190722002221 |
Provider Name | Beth Lee Fricke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417342593 PECOS PAC ID: 5294041281 Enrollment ID: I20200311002107 |
Provider Name | Christopher Niel Peoples |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205198959 PECOS PAC ID: 3173760691 Enrollment ID: I20200910000910 |
Provider Name | Laura Cornish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649637497 PECOS PAC ID: 3476968827 Enrollment ID: I20210216002751 |
Provider Name | Sheila Miriam Antony |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083989339 PECOS PAC ID: 7810281003 Enrollment ID: I20211214000834 |
Provider Name | Alice M. Inouye |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831152065 PECOS PAC ID: 3173428786 Enrollment ID: I20220225001356 |
Provider Name | Jana Goldberg |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1477873768 PECOS PAC ID: 5799075933 Enrollment ID: I20220527001594 |
Provider Name | Jeffrey Wessler |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1891053625 PECOS PAC ID: 6406169382 Enrollment ID: I20220621001943 |
Provider Name | Anita Loehmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932871233 PECOS PAC ID: 0941677736 Enrollment ID: I20221108001756 |
Provider Name | Pei-chun Mcgregor |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20230302002063 |
Provider Name | Lawanda Martindale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346699188 PECOS PAC ID: 3072809623 Enrollment ID: I20230418000615 |
Provider Name | Angela Poppe Ries |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346458197 PECOS PAC ID: 6608961081 Enrollment ID: I20230512000741 |
Provider Name | Modupeola Abiodun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225326853 PECOS PAC ID: 5597983551 Enrollment ID: I20230615001726 |
Provider Name | Saori Schmal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20230721002340 |
Provider Name | Halary Patch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255631248 PECOS PAC ID: 0840461018 Enrollment ID: I20240122002455 |
Provider Name | Ambreen Mohamed |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20240219001198 |
Provider Name | Casandra Hamlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760962823 PECOS PAC ID: 5991040495 Enrollment ID: I20240514001119 |
Provider Name | Joy Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942552807 PECOS PAC ID: 4385929538 Enrollment ID: I20240604002510 |
Provider Name | Alexis Atwater |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922328830 PECOS PAC ID: 9537303854 Enrollment ID: I20240708003257 |
Provider Name | Rakeshkumar Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568436673 PECOS PAC ID: 1052389285 Enrollment ID: I20240727000360 |
Provider Name | Andrew S Diamond |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154347235 PECOS PAC ID: 2668481144 Enrollment ID: I20240816003612 |
Provider Name | Aarti Surti |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114284742 PECOS PAC ID: 6103133350 Enrollment ID: I20240906002107 |
Provider Name | Casey Henritz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710113568 PECOS PAC ID: 1456508795 Enrollment ID: I20240906002239 |
Provider Name | William Kimbrough |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821236357 PECOS PAC ID: 9739351784 Enrollment ID: I20240906002362 |
Provider Name | Christina Kang |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20241003000376 |
Provider Name | Eric Bautista |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437576972 PECOS PAC ID: 5496040198 Enrollment ID: I20241007003008 |
Provider Name | Sarah Stookey |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659337558 PECOS PAC ID: 6305749938 Enrollment ID: I20241115001337 |
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