DR. DAIVA NEVIDOMSKYTE (NPI# 1164712931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164712931 |
| Entity Type | Individual |
| Full Name | DR. DAIVA NEVIDOMSKYTE |
| Credential | MD |
| Practice Address |
1145 Broadway Seattle WA 98122-4201 |
| Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
| Practice Telephone | 2068602204 |
| Practice Fax Number | 2068604450 |
| Mailing Telephone | 9196204700 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2016-01934 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 407 Crutchfield St, Durham, NC 277042726 | 9194707079 | 9194707099 |
| Street Address |
1145 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112107 | Hunter A Mckay | Specialist | 1145 Broadway, Seattle, WA 98122-4201 | 2005-05-23 |
| 1215420518 | Samuel Aren Bernstein Mann | Registered Nurse | 1145 Broadway, Seattle, WA 98122-4201 | 2018-06-11 |
| 1134677578 | Hilaire Jane Thompson | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2016-09-14 |
| 1285035105 | Dawn Darroch | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2014-09-10 |
| 1669808341 | Jennifer A. Carmichael | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2013-09-25 |
| 1750640868 | Jonathan Liu | Internal Medicine | 1145 Broadway, Seattle, WA 98122-4201 | 2012-05-09 |
| 1144586587 | Jeffrey Bruce Kennedy | Ophthalmology | 1145 Broadway, Seattle, WA 98122-4201 | 2012-04-10 |
| 1063790004 | Katherine M. Negron | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2011-07-25 |
| 1598054355 | Ulrik Georg Wallin | Colon & Rectal Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-01 |
| 1164749768 | Shivali Agnani Menda | Ophthalmology | 1145 Broadway, Seattle, WA 98122-4201 | 2010-04-23 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1659480630 | Ellen Lyman Thomason Derrick | Surgery | 3216 Ne 45th Pl Ste 207, Seattle, WA 98105-4028 | 2006-08-30 |
| 1366491045 | Kaj Johansen | Surgery | 600 Broadway Ste 112, Seattle, WA 98122-5381 | 2006-05-09 |
| 1568430908 | Swee Lian Tan | Surgery | 515 Minor Ave Ste 240, Seattle, WA 98104-2133 | 2006-03-10 |
| 1295730018 | Paul Gregory Hayes | Surgery | 801 Broadway Ste 500, Seattle, WA 98122-4396 | 2005-06-17 |
| 1184020307 | Usa Vein Clinics of Seattle, Pllc | Surgery | 10564 5th Ave Ne, Suite 102, Seattle, WA 98125-7200 | 2014-11-16 |
| 1942542212 | Matthew C Smith | Surgery | 1550 N 115th St, Seattle, WA 98133-8401 | 2013-03-25 |
| 1043579600 | Matthew Evans Bennett | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2012-05-16 |
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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.