SETH CHARLES BAGAN (NPI# 1245206200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245206200 |
| Entity Type | Individual |
| Full Name | SETH CHARLES BAGAN |
| Credential | MD |
| Practice Address |
1355 N. 205th St. Shoreline WA 98133 |
| Mailing Address |
Po Box 50095 Seattle WA 98145 |
| Practice Telephone | 6174142080 |
| Practice Fax Number | 6174142090 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00040378 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1245206200 | 05 | |
| WA | L&I | 0256490 | 01 |
| Street Address |
1355 N. 205TH ST. |
| City | SHORELINE |
| State | WA |
| Zip Code | 98133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962890657 | Bruce Amundson | Family Medicine | 18454 16th Ave Nw, Shoreline, WA 98177-3310 | 2015-01-03 |
| 1891059580 | William Richard Stubbs | Family Medicine | 20120 Ballinger Way Ne, Suite B, Shoreline, WA 98155-1117 | 2012-06-27 |
| 1598030660 | Lili Dopino Sperry | Family Medicine | Ichs 16549 Aurora Ave N, Shoreline, WA 98133 | 2012-03-21 |
| 1891929857 | John Benedict Abano | Family Medicine | 20011 Ballinger Way Ne Ste C100, Shoreline, WA 98155-1298 | 2009-05-06 |
| 1134335219 | Tamara Zina Anne Atkins | Family Medicine | 1355 N 205th Street, Shoreline, WA 98133 | 2007-05-15 |
| 1275508491 | Robert James Klem Jr. | Family Medicine | 604 Nw Richmond Beach Rd, Shoreline, WA 98177-3122 | 2006-02-21 |
| 1982697322 | Deems Okamoto | Family Medicine | 14731 Aurora Ave N, Shoreline, WA 98133-6547 | 2005-08-30 |
| 1073505020 | Brian L Fox | Family Medicine | 20120 Ballinger Way Ne, B, Shoreline, WA 98155 | 2005-08-16 |
| 1447712559 | Rejuvenation Medical Pllc | Family Medicine | 20011 Ballinger Way Ne, Shoreline, WA 98155-1286 | 2019-04-05 |
| 1861900631 | John Abano Md Pllc | Family Medicine | 20011 Ballinger Way Ne Ste C100, Shoreline, WA 98155-1298 | 2018-01-16 |
| Find all providers in SHORELINE | ||||
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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.