ASHLEY M JERATH TATUM (NPI# 1174559686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174559686 |
| Entity Type | Individual |
| Full Name | ASHLEY M JERATH TATUM |
| Other Name | ASHLEY J TATUM |
| Credential | M.D. |
| Practice Address |
9725 3rd Ave Ne Ste 500 Seattle WA 98115-2024 |
| Practice Telephone | 2065271200 |
| Practice Fax Number | 2065272514 |
| Mailing Telephone | 2065271200 |
| Mailing Fax Number | 2065272514 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD00040523 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAIL ROAD MEDICARE | 030005331 | 01 |
| WA | 8290835 | 05 | |
| WA | REGENCE | 7981JE | 01 |
| Street Address |
9725 3RD AVE NE STE 500 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385132 | Pandora E Christie | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2005-09-01 |
| 1962822874 | Sara Seghezzo | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2014-04-17 |
| 1902016314 | Audrey Y Park | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2007-05-23 |
| 1215145289 | David Naimi | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2007-05-21 |
| 1265562573 | Michele R. Hinatsu | Physician Assistant | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2007-03-06 |
| 1417984956 | Stephen Tilles | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2006-06-28 |
| 1275569766 | Frank S Virant | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2006-06-25 |
| 1306872551 | Paul V Williams | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2006-06-22 |
| 1407892466 | Leonard C. Altman | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2006-06-20 |
| 1396787925 | Mary V Lasley | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2006-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
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| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053401661 | Atoosa Kourosh | Allergy & Immunology | 4426 Burke Ave N, Seattle, WA 98103-7536 | 2006-10-13 |
| 1023041159 | Association of University Physicians | Allergy & Immunology | 701 5th Ave, Suite 700, Seattle, WA 98104-7097 | 2006-07-09 |
| 1821478686 | The Polyclinic | Allergy & Immunology | 1801 Nw Market St, Seattle, WA 98107-3987 | 2015-06-05 |
| 1407236367 | The Polyclinic | Allergy & Immunology | 509 Olive Way, Suite 900, Seattle, WA 98101-1720 | 2015-06-05 |
| 1841670619 | The Polyclinic | Allergy & Immunology | 3400 California Ave Sw, Suite 200, Seattle, WA 98116-3307 | 2015-06-05 |
| 1134509995 | The Polyclinic | Allergy & Immunology | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2015-06-05 |
| 1982091872 | Alice S Chau | Allergy & Immunology | 1959 Ne Pacific St, Seattle, WA 98195-3816 | 2015-04-19 |
| 1962822874 | Sara Seghezzo | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2014-04-17 |
| 1073808028 | Daniel H Petroni | Allergy & Immunology | 9725 3rd Ave Ne, Suite 500, Seattle, WA 98115-2060 | 2011-06-17 |
| 1467688069 | Lisa Christine Winterroth | Allergy & Immunology | 9725 3rd Ave Ne, Suite 500, Seattle, WA 98115-2060 | 2009-06-09 |
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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.