MARCIO A SOTERO DE MENEZES (NPI# 1003997362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003997362 |
| Entity Type | Individual |
| Full Name | MARCIO A SOTERO DE MENEZES |
| Credential | MD |
| Practice Address |
600 Broadway Ste 400 Seattle WA 98122-5312 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2062151440 |
| Practice Fax Number | 2062151441 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD00034001 | WA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD00034001 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8197725 | 05 | |
| WA | 1003997362 | 05 | |
| INTERNAL ID-MOTOR VEHICLE ID | 4821 | 01 |
| Street Address |
600 BROADWAY STE 400 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164503413 | Anthony A Bouldin | Pediatrics | 600 Broadway Ste 400, Seattle, WA 98122-5312 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346516168 | Juliane Gust | Psychiatry & Neurology | 4800 Sand Point Way Ne # 7.420, Seattle, WA 98105-3901 | 2012-03-27 |
| 1700192044 | Ilene Sue Ruhoy | Psychiatry & Neurology | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2010-08-24 |
| 1124102843 | Brien W. Vlcek | Psychiatry & Neurology | 801 Broadway Ste 711, Seattle, WA 98122-4328 | 2006-10-25 |
| 1962453472 | Catherine M Amlie Lefond | Psychiatry & Neurology | Seattle Children's Hospital, 4800 Sand Point Way Ne, Seattle, WA 98105 | 2006-05-12 |
| 1487072765 | Alicia Fernanda Henriquez | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-02 |
| 1205270618 | Carey Lockhart | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-29 |
| 1790043396 | Aimee Aoi Sato | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-05-02 |
| 1023329208 | Stephanie Carapetian Randle | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2010-06-23 |
| 1396060612 | Catherine Ellyn Otten | Psychiatry & Neurology | 4800 Sand Point Way Ne, Mb 7.420, Seattle, WA 98105-3901 | 2010-03-30 |
| 1699939835 | Joanna Elaine Wrede | Psychiatry & Neurology | 4800 Sand Point Way Ne, G-0061, Seattle, WA 98105-3901 | 2008-07-16 |
| 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.