DR. JAMIE R ANTOINE (NPI# 1114022969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114022969 |
Entity Type | Individual |
Full Name | DR. JAMIE R ANTOINE |
Credential | MD |
Practice Address |
12911 120th Ave Ne Ste H210 Kirkland WA 98034 |
Mailing Address |
12911 120th Ave Ne Ste G10 Kirkland WA 98034-3048 |
Practice Telephone | 4258234000 |
Practice Fax Number | 4258213550 |
Mailing Telephone | 4258234000 |
Mailing Fax Number | 4258213550 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2018-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | MD60007110 | WA | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | A97899 | CA | Allopathic & Osteopathic Physicians |
N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD60007110 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1090846 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
795 El Camino Real, Palo Alto, CA 943012302 | 6503214121 |
Street Address |
12911 120TH AVE NE STE H210 |
City | KIRKLAND |
State | WA |
Zip Code | 98034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407314735 | Raymond Moreno Jr. | Physician Assistant | 12911 120th Ave Ne Ste H210, Kirkland, WA 98034 | 2019-03-05 |
1225503873 | Vasile Oros | Physician Assistant | 12911 120th Ave Ne Ste H210, Kirkland, WA 98034-3065 | 2018-10-10 |
1568808970 | Edward K Jung | Orthopaedic Surgery | 12911 120th Ave Ne Ste H210, Kirkland, WA 98034-3065 | 2013-05-13 |
1821140054 | Duong H. Tran | Physician Assistant | 12911 120th Ave Ne Ste H210, Kirkland, WA 98034 | 2007-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
Find all providers in zip 98034 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306108436 | Adam Clay Rothenberg | Orthopaedic Surgery | 12039 Ne 128th St Ste 400, Kirkland, WA 98034-3029 | 2012-06-14 |
1033148192 | Washington Sports Medicine Associates Inc | Orthopaedic Surgery | 12707 120th Ave Ne, Suite 203, Kirkland, WA 98034-7500 | 2006-07-01 |
1134165897 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034-3064 | 2006-06-21 |
1598705717 | Matthew Christian Oseto | Orthopaedic Surgery | 12303 Ne 130th Ln Ste 220, Kirkland, WA 98034-3060 | 2006-06-07 |
1023088374 | Timothy Hayes Massey | Orthopaedic Surgery | 11821 Ne 128th St, Suite A, Kirkland, WA 98034-7210 | 2006-01-26 |
1568808970 | Edward K Jung | Orthopaedic Surgery | 12911 120th Ave Ne Ste H210, Kirkland, WA 98034-3065 | 2013-05-13 |
1073803276 | Samuel E. Galle | Orthopaedic Surgery | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034-3064 | 2011-04-09 |
1730339623 | Orthopedics Intl. Lab Ps | Orthopaedic Surgery | 12333 Ne 130th Lane, Suite 400, Kirkland, WA 98034-7467 | 2008-09-26 |
1578727525 | John David Beck | Orthopaedic Surgery | 12911 120th Ave Ne, Suite H-10, Kirkland, WA 98034-3027 | 2008-07-17 |
1356509475 | Camille Melinda Clinton | Orthopaedic Surgery | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2008-05-27 |
Find all providers in KIRKLAND |
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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.