SEATTLE NEPHROLOGY PLLC


Address: 1570 N 115th St, Suite 10, Seattle, WA 98133-8412
Phone: 2063675252

SEATTLE NEPHROLOGY PLLC (NPI# 1306055926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306055926
Entity Type Organization
Organization Name SEATTLE NEPHROLOGY PLLC
Practice Address 1570 N 115th St
Suite 10
Seattle
WA 98133-8412
Practice Telephone 2063675252
Practice Fax Number 2063675353
Mailing Telephone 2063675252
Mailing Fax Number 2063675353
Enumeration Date 2007-05-21
Last Update Date 2007-11-28
Authorized Official Name DR. JUNG H JOH (MEMBER)
Authorized Official Telephone 2063675252
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 7111693 05
WA RAILROAD MEDICARE CJ4503 01
WA REGENCE BLUE SHIELD 1202SE 01

Office Location

Street Address 1570 N 115TH ST
SUITE 10
City SEATTLE
State WA
Zip Code 98133-8412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588660781 James A Joki Obstetrics & Gynecology 1570 N 115th St, # 9, Seattle, WA 98133-8412 2005-06-22
1205358991 Puget Sound Integrative Oncology Clinic/Center 1570 N 115th St, Seattle, WA 98133-8401 2017-07-13
1740650076 Craig Peterson Acupuncturist 1570 N 115th St, Seattle, WA 98133-8401 2015-09-29
1861806614 Seattle Procure Management LLC Radiology 1570 N 115th St, Seattle, WA 98133-8401 2014-06-19
1326382482 Seattle Proton Center, LLC Radiology 1570 N 115th St, Seattle, WA 98133-8401 2012-11-15
1942525423 Jes Alexander Radiology 1570 N 115th St, Seattle, WA 98133-8401 2010-03-29
1588892749 Yolanda Tseng Radiology 1570 N 115th St, Seattle, WA 98133-8401 2009-06-26
1982832218 Alex D. Cooper, Md, Pllc Psychiatry & Neurology 1570 N 115th St, Suite 14, Seattle, WA 98133-8412 2009-06-25
1922272665 Seattle Endocrinology Inc Internal Medicine 1570 N 115th St, Suite 10, Seattle, WA 98133-8412 2008-04-14
1184839722 Smith Apisarnthanarax Radiology 1570 N 115th St, Seattle, WA 98133-8401 2007-05-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992258289 Roderick Marshall Macdonald Internal Medicine University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 2016-08-03
1316142946 Gerard William Ames Internal Medicine 1916 Pike Pl, Ste 12 #412, Seattle, WA 98101-1056 2007-06-14
1841414414 John Cooper Stivelman Internal Medicine Northwest Kidney Centers, 700 Broadway, Seattle, WA 98122-4302 2007-04-12
1548379209 Armando Lindner Internal Medicine 8720 14th Ave S, Seattle, WA 98108 2006-08-29
1205866787 Yoshio Nogami Hall Internal Medicine Harborview Medical Center - Uw Medicine/nephrology, 325 9th Ave, Seattle, WA 98104 2006-07-03
1295761328 Sarvesh Smiley Thakur Internal Medicine 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 2006-06-23
1538119607 Michael Brendan Shannon Internal Medicine 325 9th Ave # 359606, Seattle, WA 98104-2420 2006-05-11
1922061191 Samuel R. Pettis Internal Medicine 742b Boylston Ave E, Seattle, WA 98102-4619 2006-04-10
1548259229 Nelson B Goes Internal Medicine 1124 Columbia St Ste 600, Swedish Organ Transplant, Seattle, WA 98104-2046 2005-10-17
1316933450 Diana T. Perkinson Internal Medicine 1101 Madison St Ste 200, Seattle, WA 98104-1321 2005-09-23
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City SEATTLE
Zip Code 98133

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Dataset Information

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.

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