STUART L DUPEN (NPI# 1124089826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124089826 |
| Entity Type | Individual |
| Full Name | STUART L DUPEN |
| Credential | M.D. |
| Practice Address |
1135 116th Ave Ne Suite 110b Bellevue WA 98004-4623 |
| Mailing Address |
Po Box 3905 Dept. 4204 Seattle WA 98124-3905 |
| Practice Telephone | 4252893140 |
| Practice Fax Number | 4252893145 |
| Mailing Telephone | 8888465527 |
| Mailing Fax Number | 6073242369 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2009-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD00010516 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I WORKERS COMP | 0191455 | 01 |
| WA | REGENCE BLUESHIELD RIDER | 9441DU | 01 |
| WA | 8239519 | 05 |
| Street Address |
1135 116TH AVE NE SUITE 110B |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1366092728 | Sharpevision Pllc | Optometrist | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2019-09-18 |
| 1447775960 | Ngan Kim Hoang | Pharmacist | 1135 116th Ave Ne, #105, Bellevue, WA 98004 | 2017-08-04 |
| 1871831420 | Jacqueline Suzanne Berkeihiser | Counselor | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2013-01-16 |
| 1306193255 | Raisa R Volodarsky | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2012-08-09 |
| 1952673238 | Northwest Center for Urology | Urology | 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 | 2012-02-02 |
| 1548545973 | Daniel Hee-chul Hahm | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2011-10-17 |
| 1811272792 | Kendra Lian Marks | Audiologist | 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004-4623 | 2011-10-11 |
| 1134439540 | Aeisha Bhatti Adnan | Physician Assistant | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-10-19 |
| 1730496092 | Washington Urology Associates, Pllc | Clinic/Center | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
| 1770588113 | David S Goodman | Anesthesiology | 2820 Northup Way, Ste 200, Bellevue, WA 98004-1498 | 2005-06-14 |
| 1134503675 | Acxel Health Pllc | Anesthesiology | 16460 Se 46th Ct, Bellevue, WA 98006-4740 | 2015-07-15 |
| 1962752378 | Lodestone Health, Pllc | Anesthesiology | 10900 Ne 4th St, Suite 2300, Bellevue, WA 98004-5873 | 2012-09-12 |
| 1437437258 | Washington Center for Pain Management LLC | Anesthesiology | 1900 116th Ave Ne, Suite 201, Bellevue, WA 98004-3052 | 2011-07-27 |
| 1649312695 | Northwest Pain Consultants Pllc | Anesthesiology | 1607 116th Ave Ne, Suite 102, Bellevue, WA 98004-3049 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
| 1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
| 1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
| 1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
| 1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
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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.