WASHINGTON INSTITUTE FOR COAGULATION (NPI# 1164082384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164082384 |
| Entity Type | Organization |
| Organization Name | WASHINGTON INSTITUTE FOR COAGULATION |
| Practice Address |
921 Terry Ave Seattle WA 98104-1239 |
| Practice Telephone | 2066896507 |
| Mailing Telephone | 2066896507 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | DR. REBECCA KRUSE-JARRES (PRESIDENT/EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2066896507 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WASHINGTON CENTER FOR BLEEEDING DISORDERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678240 | Washington Institute for Coagulation | Pharmacy | 921 Terry Ave Ste A, Seattle, WA 98104-1239 | 2019-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON INSTITUTE FOR COAGULATION | 2351 Hobart Ave Sw, Seattle, WA 98116-1833 |
| Washington State Corporations | WASHINGTON INSTITUTE FOR COAGULATION | 921 Terry Ave, Seattle, WA 98104-1239 |
| Street Address |
921 TERRY AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662084 | Bloodworks | Blood Bank | 921 Terry Ave, Seattle, WA 98104-1239 | 2005-07-08 |
| 1902414956 | Heebeen Kim | Pharmacist | 921 Terry Ave, Seattle, WA 98104-1239 | 2020-07-15 |
| 1194193300 | Paul Warner | Pathology | 921 Terry Ave, Seattle, WA 98104-1239 | 2015-09-03 |
| 1881061638 | Idoia Gimferrer | Pathology | 921 Terry Ave, Room 614, Seattle, WA 98104-1239 | 2015-08-27 |
| 1053799403 | Bloodworks | Pharmacy | 921 Terry Ave, Suite A, Seattle, WA 98104-1239 | 2015-05-18 |
| 1275870594 | Rebecca Haley | Internal Medicine | 921 Terry Ave, Seattle, WA 98104-1239 | 2013-01-07 |
| 1528319589 | Catlin Tolzmann Goodfriend | Pharmacist | 921 Terry Ave, Seattle, WA 98104-1239 | 2012-09-30 |
| 1275843740 | Puget Sound Blood Center | Clinical Medical Laboratory | 921 Terry Ave, Seattle, WA 98104 | 2010-10-18 |
| 1831421460 | Chester Alan Lubrin Flores | Spec/Tech, Pathology | 921 Terry Ave, Seattle, WA 98104-1239 | 2010-02-08 |
| 1295986586 | Anne Jezzamine Yee Choi | Nurse Practitioner | 921 Terry Ave, Seattle, WA 98104-1239 | 2008-10-04 |
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| 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 | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1508006347 | Adriana Carolina Bello | Internal Medicine | 4006 Pasadena Pl Ne Apt 3, Seattle, WA 98105-6461 | 2009-03-05 |
| 1891284121 | Geoffrey Roger Hill | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2018-05-02 |
| 1730696774 | Kleber Yotsumoto Fertrin | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2017-12-29 |
| 1174920953 | Jordan Gauthier | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2014-11-22 |
| 1346525979 | Laura Sophia Connelly-smith | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2011-10-14 |
| 1619267556 | Bethany Tara Samuelson Bannow | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2011-04-12 |
| 1447581517 | Elizabeth Krakow | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2010-01-28 |
| 1881833861 | Hirohisa Nakamae | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-1023 | 2009-02-13 |
| 1174762223 | Dian-kun Li | Internal Medicine | 825 Eastlake Ave E, Mailstop: G4940, Seattle, WA 98109-4405 | 2009-02-12 |
| 1013160464 | Ron Ram | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2008-10-29 |
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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.