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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7111693 | 05 | |
WA | RAILROAD MEDICARE | CJ4503 | 01 |
WA | REGENCE BLUE SHIELD | 1202SE | 01 |
Street Address |
1570 N 115TH ST SUITE 10 |
City | SEATTLE |
State | WA |
Zip Code | 98133-8412 |
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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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 | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
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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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.