DR. JOEL C KONIKOW (NPI# 1215007091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215007091 |
| Entity Type | Individual |
| Full Name | DR. JOEL C KONIKOW |
| Credential | MD |
| Practice Address |
600 Broadway Suite 530 Seattle WA 98122-5229 |
| Mailing Address |
Po Box 1643 Mercer Island WA 98040-1643 |
| Practice Telephone | 2067895418 |
| Practice Fax Number | 2067849744 |
| Mailing Telephone | 2067895418 |
| Mailing Fax Number | 2067849744 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD00014204 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2015306 | 05 |
| Street Address |
600 BROADWAY SUITE 530 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
| 1912546011 | Carina Renee Ziegler | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2020-01-06 |
| 1477194520 | Michael Gonzalez | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-30 |
| 1356999213 | Jennifer Mira Alsdorf | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-03 |
| 1780231316 | Allyson Bortoletto | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2019-08-19 |
| 1295202547 | Frauke Dorothea John | Student in an Organized Health Care Education/Training Program | 600 Broadway, Suite 170, Seattle, WA 98122 | 2018-10-25 |
| 1457863532 | Rebecca Locker Bean | Social Worker | 600 Broadway, Seattle, WA 98122-5229 | 2017-10-30 |
| 1235658527 | Jens Cinquemani | Social Worker | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 1053830349 | Keylee Bernardita Fernandez | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 1225557515 | Maria Mohamed Abdullahi | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336511989 | Pain & Wellness Institute, Pllc | Physical Medicine & Rehabilitation | 819 Virginia Street, Unit 1805, Seattle, WA 98101 | 2015-10-22 |
| 1477907822 | Melissa Osborn | Physical Medicine & Rehabilitation | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2016-04-21 |
| 1477920973 | Institute of Pain, Rehabilitation and Wellness, Pllc | Physical Medicine & Rehabilitation | 1334 Terry Ave, Seattle, WA 98101-2747 | 2015-09-01 |
| 1740583566 | Maysoft, LLC | Physical Medicine & Rehabilitation | 155 Ne 100th St, Ste 402, Seattle, WA 98125-8012 | 2010-12-16 |
| 1255520102 | David Cassius, Md Ps | Physical Medicine & Rehabilitation | 600 Broadway, Suite 270, Seattle, WA 98122-5395 | 2007-10-17 |
| 1568679074 | Virginia Mason Medical Center | Physical Medicine & Rehabilitation | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-05-16 |
| 1023173846 | Xiangping Ren | Physical Medicine & Rehabilitation | 904 7th Ave, Seattle, WA 98104-1132 | 2006-12-22 |
| 1194884940 | David Cassius | Physical Medicine & Rehabilitation | 600 Broadway, Suite 270, Seattle, WA 98122-5395 | 2006-12-07 |
| 1679667331 | Antoine Dante Jones | Physical Medicine & Rehabilitation | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-10-03 |
| 1629187687 | Mark Andrew Tomski | Physical Medicine & Rehabilitation | 1101 Madison Street, Suite 200 Spd Pain Management, Seattle, WA 98104-1306 | 2006-08-30 |
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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.