SENIORWELL POD OF WASHINGTON LLC (NPI# 1003449430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003449430 |
| Entity Type | Organization |
| Organization Name | SENIORWELL POD OF WASHINGTON LLC |
| Practice Address |
506 Secord Avenue Suite 1400 Seattle WA 98104-2329 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Mailing Telephone | 8448823127 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | JOHN MORONEY (CEO) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| SeniorWell POD Of Washington LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SENIORWELL POD OF WASHINGTON LLC | 2100 E Lake Cook Rd Ste 1000, Buffalo Grove, IL 60089-1999 |
| Street Address |
506 SECORD AVENUE SUITE 1400 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
| 1700108651 | Alexis A Mckeown | Podiatrist | 1950 Alaskan Way 526, Seattle, WA 98101-1078 | 2010-02-19 |
| 1942442975 | Michaela Ostradicky | Podiatrist | 1702 Dexter Ave N, Seattle, WA 98109-3021 | 2009-04-06 |
| 1174649727 | Glenn David Yocum | Podiatrist | 5407 17th Ave Nw, Seattle, WA 98107-3818 | 2007-03-22 |
| 1770650822 | Kim K. Lau | Podiatrist | 14213 Ambaum Blvd Sw, Seattle, WA 98166 | 2006-11-30 |
| 1649352527 | Anthony Lo | Podiatrist | 515 Minor Ave., Suite 240, Seattle, WA 98104-2133 | 2006-10-19 |
| 1790885358 | Douglas S Hale | Podiatrist | 600 Broadway Ste 220, Seattle, WA 98122-5373 | 2006-09-24 |
| 1154429249 | Stanley G Newell Dpm Ps | Podiatrist | 9501 5th Ave Ne, Seattle, WA 98115-2108 | 2006-09-20 |
| 1831297928 | Erik Christopher Lilja | Podiatrist | 400 N 34th St Ste 203, Seattle, WA 98103-8600 | 2006-09-20 |
| 1093826190 | Lotchie Marie Kerch | Podiatrist | 2919 27th Ave W, Seattle, WA 98199-2827 | 2006-08-31 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.