DR. SHAISTA QUDDUSI (NPI# 1053340885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053340885 |
| Entity Type | Individual |
| Full Name | DR. SHAISTA QUDDUSI |
| Other Name | SHAISTA ANSARI |
| Credential | MD |
| Practice Address |
700 S 320th St Suite D Federal Way WA 98003-4691 |
| Mailing Address |
700 S 320th St Advanced Diabetes & Endocrine Care Suite D Federal Way WA 98003 |
| Practice Telephone | 2538801029 |
| Mailing Telephone | 2538801029 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00032808 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD00032808 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ECFMG | 04301438 | 01 |
| WA | CRIME VICTIMS | 8904723 | 01 |
| WA | RAILROAD | P00181501 | 01 |
| WA | L & I | 0195405 | 01 |
| WA | L & I | 0205416 | 01 |
| WA | 8228041 | 05 | |
| WA | CRIME VICTIMS | 8940048 | 01 |
| Street Address |
700 S 320TH ST SUITE D |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-4691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114990462 | Thomas E. Jacka | Dentist | 700 S 320th St, Suite E, Federal Way, WA 98003-4691 | 2006-02-08 |
| 1518375880 | Advanced Diabetes and Endocrine Care | Internal Medicine | 700 S 320th St, Suite D, Federal Way, WA 98003-4691 | 2014-07-30 |
| 1649607425 | Jennifer Renee Kasselmann | Nurse Practitioner | 700 S 320th St, Suite A, Federal Way, WA 98003-4691 | 2013-10-11 |
| 1104066919 | Arminda Mauricio | Obstetrics & Gynecology | 700 S 320th St, Suite B, Federal Way, WA 98003 | 2009-03-06 |
| 1750490520 | Jay Kloby | Radiology | 700 S 320th St, Suite D, Federal Way, WA 98003-4691 | 2006-08-29 |
| 1538189428 | Michael B Smith | Obstetrics & Gynecology | 700 S 320th St, Suite B, Federal Way, WA 98003-4691 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386863470 | Larry D. Stonesifer, M.d., Inc, P.s. | Internal Medicine | 34509 9th Ave S Ste 200, Federal Way, WA 98003-8708 | 2007-04-25 |
| 1073609509 | Larry D. Stonesifer | Internal Medicine | 34509 - 9th Ave So #200, Federal Way, WA 98003-8708 | 2006-10-04 |
| 1518375880 | Advanced Diabetes and Endocrine Care | Internal Medicine | 700 S 320th St, Suite D, Federal Way, WA 98003-4691 | 2014-07-30 |
| 1891729901 | Franciscan Medical Group | Internal Medicine | 30809 1st Ave S, Federal Way, WA 98003-4074 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1497283287 | Shannon Casey | Internal Medicine | 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 | 2017-05-24 |
| 1255606489 | Lindsay Collins | Internal Medicine | 12303 Ne 130th Ln Ste 250, Kirkland, WA 98034-3072 | 2012-03-21 |
| 1295024727 | Qin Ouyang | Internal Medicine | 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 | 2011-04-05 |
| 1699078642 | Mary Margaret Higley Carbone | Internal Medicine | 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 | 2010-12-14 |
| 1881994028 | Swedish Edmonds | Internal Medicine | 21616 76 Ave W, Suite 212, Edmonds, WA 98026 | 2010-10-21 |
| 1699082909 | Aria Endocrinology | Internal Medicine | 12303 Ne 130th Lane, Suite 400, Evergreen Professional Center, Kirkland, WA 98034 | 2010-09-08 |
| 1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
| 1386958882 | Kadapalakere Pathalingappa Manjun Reddy | Internal Medicine | 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 | 2010-07-27 |
| 1679800932 | Arthi Thirumalai | Internal Medicine | 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 | 2009-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.