JOHN E OLERUD (NPI# 1255417036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255417036 |
| Entity Type | Individual |
| Full Name | JOHN E OLERUD |
| Practice Address |
Uwmc-roosevelt 4225 Roosevelt Way Ne Seattle WA 98105-6166 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065984067 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD00015240 | WA | Allopathic & Osteopathic Physicians |
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
MD00015240 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 0801 | 01 | |
| WA | 8392805 | 05 |
| Street Address |
UWMC-ROOSEVELT 4225 ROOSEVELT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-6166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649350612 | Brenda Sue Houmard | Obstetrics & Gynecology | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4765 | 2006-10-16 |
| 1578606042 | Sharon Ann Dobie | Family Medicine | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4770 | 2007-02-15 |
| 1487797957 | Lynn M Oliver | Family Medicine | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4770 | 2007-02-15 |
| 1679630875 | Julia R Heiman | Psychologist | Uwmc-roosevelt, 4225 Roosevelt Way Ne, Suite 306, Seattle, WA 98105-4794 | 2007-01-03 |
| 1538248299 | Amy Lee Vanblaricom | Obstetrics & Gynecology | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4765 | 2006-11-03 |
| 1003992371 | Anne-marie Elizabeth Amies Oelschlager | Obstetrics & Gynecology | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4765 | 2006-10-30 |
| 1720164577 | Anne Marie Eacker | Internal Medicine | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-6920 | 2006-10-27 |
| 1659457463 | Kristina Maria Adams Waldorf | Obstetrics & Gynecology | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4765 | 2006-10-27 |
| 1891871612 | Stanley L Hurst | Dermatology | Uwmc-roosevelt, 4225 Roosevelt Way Ne, Seattle, WA 98105-6166 | 2006-10-27 |
| 1649356361 | Viksa Mendiratta | Obstetrics & Gynecology | Uwmc-roosevelt, 4245 Roosevelt Way Ne, Seattle, WA 98105-4765 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326281353 | Deepti Gupta | Dermatology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2009-04-07 |
| 1417083197 | Heather Alicia Brandling-bennett | Dermatology | 4800 Sand Point Way Ne, A-7916 - Dermatology, Seattle, WA 98105-3901 | 2007-02-26 |
| 1861507113 | Robert Sidbury | Dermatology | 4800 Sand Point Way Ne, Seattle Children's Hospital A7916, Seattle, WA 98105-3901 | 2006-08-20 |
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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.