MARK DAVID DERLETH (NPI# 1356457063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356457063 |
| Entity Type | Individual |
| Full Name | MARK DAVID DERLETH |
| Credential | M.D. |
| Practice Address |
1959 Ne Pacific St Box 356424 Seattle WA 98195-6424 |
| Practice Telephone | 2065984377 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD 60022504 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1959 NE PACIFIC ST BOX 356424 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-6424 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1548559552 | Stephen Michael Vindigni | Internal Medicine | 1959 Ne Pacific St, Room Bb-527, Seattle, WA 98195-6421 | 2011-03-30 |
| 1831498203 | Sophia Mansfield Swanson | Internal Medicine | 125 16th Ave, Seattle, WA 98122 | 2011-03-24 |
| 1003906959 | Anne M Larson | Internal Medicine | 1560 N 115th St Ste 207, Seattle, WA 98133-8414 | 2006-10-13 |
| 1497725238 | Steven Thomas Lewis | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-24 |
| 1003818709 | Andrew Dean Feld | Internal Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2005-08-11 |
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1689109126 | Adil Ghafoor | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2017-04-21 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MARK DAVID DERLETH.
| 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.