GEOFFRY BURKS (NPI# 1164983177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164983177 |
Entity Type | Individual |
Full Name | GEOFFRY BURKS |
Credential | DO |
Practice Address |
1959 Ne Pacific St Rm Bb-527 Seattle WA 98195-0001 |
Mailing Address |
1959 Ne Pacific Street Room Bb-527 Box 356421 Seattle WA 98195-6421 |
Practice Telephone | 2065433605 |
Mailing Telephone | 2065433605 |
Enumeration Date | 2019-03-31 |
Last Update Date | 2019-03-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1959 NE PACIFIC ST RM BB-527 |
City | SEATTLE |
State | WA |
Zip Code | 98195-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417272550 | Margaret Tubbesing | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Box 356421, Seattle, WA 98195-6421 | 2010-04-01 |
1134616550 | Nina Tan | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Seattle, WA 98195 | 2018-04-20 |
1083111058 | Frances Adelaja | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Seattle, WA 98195 | 2018-04-06 |
1669979647 | James Sze | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Seattle, WA 98195 | 2018-04-06 |
1255837464 | Nancy Mugisha | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Seattle, WA 98195 | 2018-04-05 |
1922504497 | Matthew Adam Hodges | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Seattle, WA 98195-3206 | 2018-04-03 |
1093249682 | Mai Tsukikawa | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Box 356421, Seattle, WA 98195-6421 | 2017-04-20 |
1205360740 | Ashley Marie Eaves | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Box 35621, Seattle, WA 98195-6421 | 2017-04-11 |
1356705552 | Sarah H. Jin | Internal Medicine | 1959 Ne Pacific St Rm Bb-527, Box 356421, Seattle, WA 98195-6421 | 2016-04-13 |
1639523863 | Tru-khang Dinh | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St Rm Bb-527, Box 356421, Seattle, WA 98195-6421 | 2016-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
1336751684 | Binabahen Shah | Student in an Organized Health Care Education/Training Program | 6035 4th Ave Nw, Seattle, WA 98107-2109 | 2020-08-18 |
1316558968 | Jimmy Nguyen | Student in an Organized Health Care Education/Training Program | 5525 23rd Ave S, Seattle, WA 98108-2918 | 2020-08-16 |
1174133672 | Selomie Habtemichael | Student in an Organized Health Care Education/Training Program | 10000 30th Ave Sw, Seattle, WA 98146-3720 | 2020-08-09 |
1659980720 | Joseph Banham | Student in an Organized Health Care Education/Training Program | 12057 Lakeside Pl Ne, Seattle, WA 98125-5956 | 2020-07-24 |
1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
1659993723 | Caroline Mullins | Student in an Organized Health Care Education/Training Program | 701 N 36th St Ste 3000, Seattle, WA 98103-8868 | 2020-05-12 |
1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
1669092128 | Ahmed Abdelrazek | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, 356560, Department of Psychiart, Seattle, WA 98195-6560 | 2020-04-24 |
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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.