ERIC RYAN SHIBLEY (NPI# 1225274038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225274038 |
| Entity Type | Individual |
| Full Name | ERIC RYAN SHIBLEY |
| Other Name | CHOUDHURY SHIBLEE NOMANY |
| Credential | M.D. |
| Practice Address |
4700 36th Ave Sw Seattle WA 98126-2716 |
| Practice Telephone | 2069384291 |
| Practice Fax Number | 2069384483 |
| Mailing Telephone | 2069384291 |
| Mailing Fax Number | 2062601412 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 60108064 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4700 36TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972663698 | Denis J Hom | Internal Medicine | 4700 36th Ave Sw, Seattle, WA 98126-2716 | 2006-12-11 |
| 1437499035 | Laboratory Corporation of America | Clinical Medical Laboratory | 4700 36th Ave Sw, Seattle, WA 98126-2716 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| 1558928531 | Donn J Colby | Internal Medicine | 318 17th Ave E, Seattle, WA 98112-5107 | 2019-05-24 |
| 1922585736 | Summit Consulting for Post Acute Care LLC | Internal Medicine | 1170 Alki Ave Sw Apt 301, Seattle, WA 98116-4828 | 2018-07-24 |
| 1619401668 | Chipo Natasha Kwendakwema | Internal Medicine | 1959 Ne Pacific St Rm Bb527, Box 356421, Seattle, WA 98195-6421 | 2017-04-17 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1851831838 | Allofor Inc. | Internal Medicine | 5608 17th Ave Nw Ste 537, Seattle, WA 98107-5232 | 2017-02-24 |
| 1558817791 | Frankenfeld Home Visits Mht LLC | Internal Medicine | 4816 Aurora Avenue N, Seattle, WA 98103 | 2016-08-28 |
| 1093268542 | Hansen Mht LLC | Internal Medicine | 4816 Aurora Ave N, Seattle, WA 98103-6518 | 2016-08-02 |
| Find all providers in SEATTLE | ||||
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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.