LARRY G DUCKERT (NPI# 1285724146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285724146 |
| Entity Type | Individual |
| Full Name | LARRY G DUCKERT |
| Practice Address |
1959 Ne Pacific St Seattle WA 98195-6161 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065984022 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | MD00016657 | WA | Allopathic & Osteopathic Physicians |
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
MD00016657 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 1735 | 01 |
| Street Address |
1959 NE PACIFIC ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-6161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637298 | Divis Kaur Khaira | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195 | 2005-05-23 |
| 1225639628 | Alexandra Christina Schenck | Speech-Language Pathologist | 1959 Ne Pacific St, 3rd Floor, Ne 300, Seattle, WA 98195 | 2020-11-03 |
| 1245831692 | Lindsey Marie Graff | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1841891165 | Yip Han Lee | Nurse Anesthetist, Certified Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1003415316 | Thuy Duong Hoang Nguyen | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-19 |
| 1982201968 | Timothy Shan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-03 |
| 1245847326 | Erika Patterson | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-5063 | 2020-09-23 |
| 1932716032 | Poonam Gill | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-09-23 |
| 1962018119 | Vivian Dao | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| 1558977843 | Angela Schwartz | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235300500 | Constantine Palaskas Md PC | Otolaryngology | 1221 Madison St Ste 1410, Seattle, WA 98104-3555 | 2008-03-14 |
| 1154525012 | Daniel Marcus Zeitler | Otolaryngology | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-06-13 |
| 1629168570 | Clifford Robert Hume | Otolaryngology | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-6161 | 2006-10-13 |
| 1972565224 | Charles A. Mangham Jr. | Otolaryngology | 801 Broadway, Ste 830, Seattle, WA 98122-4396 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750653143 | Ralph Arthur Nelson | Otolaryngology | 2332 2nd Ave East, Manchester, WA 98366-8590 | 2012-02-01 |
| 1912155136 | William R Schmitt | Otolaryngology | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2008-08-29 |
| 1114082146 | Nicholas James Hamill | Otolaryngology | 1901 S Union Ave, B-2010, Tacoma, WA 98405-1702 | 2006-12-27 |
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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.