CYNTHIA KELLER MD (NPI# 1225436512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225436512 |
| Entity Type | Organization |
| Organization Name | CYNTHIA KELLER MD |
| Practice Address |
12815 120th Ave Ne Suitre A Kirkland WA 98034-3003 |
| Mailing Address |
12815 120th Ave Ne Suitre A Kirkland WA 98034 |
| Practice Telephone | 4258984732 |
| Mailing Telephone | 4258984732 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | CYNTHIA MARIE KELLER (OWNER) |
| Authorized Official Telephone | 42589874732 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CYNTHIA KELLER MD PS | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 |
| Street Address |
12815 120TH AVE NE SUITRE A |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154377257 | Ernest A Norehad | Specialist | 12815 120th Ave Ne, Suite E, Kirkland, WA 98034-3003 | 2006-05-26 |
| 1467842161 | Centered In Wellness, LLC | Non-Pharmacy Dispensing Site | 12815 120th Ave Ne, Suite A, Kirkland, WA 98034-3003 | 2015-02-02 |
| 1831333681 | Emily Jean Passic | Naturopath | 12815 120th Ave Ne, Suite A, Kirkland, WA 98034-3003 | 2009-04-23 |
| 1104093319 | Dr, Richard Bienenfeld, D.d.s. | Clinic/Center | 12815 120th Ave Ne, Suite G, Kirkland, WA 98034-3003 | 2008-05-15 |
| 1093988123 | Evergreen Urology Assoc Inc Ps | Specialist | 12815 120th Ave Ne, Suite E, Kirkland, WA 98034-3003 | 2008-04-09 |
| 1508960857 | Richard Oliver Bienenfeld | Dentist | 12815 120th Ave Ne, Suite G Evergreen Medical Dental Center, Kirkland, WA 98034 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245385236 | Braden Charles Stridde | Pediatrics | 10117 Ne 58th Street, Suite 100, Kirkland, WA 98033-7450 | 2007-01-23 |
| 1740348515 | Michael Peter Kazaras | Pediatrics | 10126 Ne 132nd St, Suite A, Kirkland, WA 98034-9043 | 2006-12-05 |
| 1932209947 | Manfred Harro Eichner | Pediatrics | 12911 120th Avenue Ne, Suite F180, Kirkland, WA 98034 | 2006-09-22 |
| 1669588240 | Firoz Ibrahim | Pediatrics | 13128 Totem Lake Blvd Ne Ste 105, Kirkland, WA 98034-2953 | 2006-08-23 |
| 1164448338 | Gagan Khalsa | Pediatrics | 433 State St S, Suite 6, Kirkland, WA 98033-6615 | 2006-07-14 |
| 1699939595 | Jervis J Belarmino | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2008-07-10 |
| 1205045739 | Basma Raees | Pediatrics | 433 State St, Kirkland, WA 98033-6615 | 2007-05-22 |
| 1689749392 | Joyce Wu | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-21 |
| 1588739106 | Donna Lynn Fowler | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-21 |
| 1518031137 | Tracey Howson | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-17 |
| Find all providers in KIRKLAND | ||||
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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.