DR. MARC YALE BURDICK (NPI# 1396864963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396864963 |
| Entity Type | Individual |
| Full Name | DR. MARC YALE BURDICK |
| Credential | DO |
| Practice Address |
5350 Tallman Ave Nw Seattle WA 98107 |
| Practice Telephone | 2067816341 |
| Mailing Telephone | 2067816341 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4826 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | OP60098132 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DEA LICENSE | ASO2532199208 | 01 |
| NV | 100500484 | 05 | |
| NV | LICENSE | SL0470 | 01 |
| Street Address |
5350 TALLMAN AVE NW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853597 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 5350 Tallman Ave Nw, Suite 310, Seattle, WA 98107-5902 | 2005-12-30 |
| 1003364548 | Justin Bowles | Pharmacist | 5350 Tallman Ave Nw, Seattle, WA 98107-5902 | 2016-09-13 |
| 1275996753 | Laboratory Corporation of America | Clinical Medical Laboratory | 5350 Tallman Ave Nw, Suite 310, Seattle, WA 98107-5902 | 2016-04-01 |
| 1902213119 | Vera Whole Health Wa PC | Clinic/Center | 5350 Tallman Ave Nw, Suite 510, Seattle, WA 98107-5902 | 2014-07-20 |
| 1588958599 | Amber Farook | Family Medicine | 5350 Tallman Ave Nw, Ste 301, Seattle, WA 98107-3932 | 2011-06-07 |
| 1477844991 | Andrew Le | Family Medicine | 5350 Tallman Ave Nw, Ste 301, Seattle, WA 98107-5902 | 2011-05-02 |
| 1932420155 | Meghan Leigh Schott | Emergency Medicine | 5350 Tallman Ave Nw, Seattle, WA 98107-5902 | 2010-06-22 |
| 1902123623 | Aubrey Lyn Girolamo I | Internal Medicine | 5350 Tallman Ave Nw, Suite 301, Seattle, WA 98107-5902 | 2010-04-21 |
| 1760656805 | Wendy Wai Chang | Obstetrics & Gynecology | 5350 Tallman Ave Nw, Suite #420, Seattle, WA 98107-5902 | 2008-04-19 |
| 1114117926 | Mia Elizabeth Pelt | Advanced Practice Midwife | 5350 Tallman Ave Nw, Suite 420, Seattle, WA 98107-5902 | 2007-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518372416 | John Raymond Avant Storey | Emergency Medicine | 3300 Meridian Ave N, Apt 204, Seattle, WA 98103-9150 | 2014-06-30 |
| 1346650017 | Anna Condino | Emergency Medicine | Emergency Services Northwest, 1550 N 115th Street, A150, Seattle, WA 98133 | 2014-05-05 |
| 1497184725 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 3050 Ne 127th St, Seattle, WA 98125-4415 | 2013-11-07 |
| 1578996211 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 610 1st Ave N, Seattle, WA 98109-4001 | 2013-08-16 |
| 1770926602 | Nicholas Granzella | Emergency Medicine | 201 16th Ave E # Chm, Seattle, WA 98112-5226 | 2013-04-10 |
| 1669815882 | Brandy Cluka | Emergency Medicine | 325 9th Ave # 359702, Seattle, WA 98104-2420 | 2013-04-08 |
| 1285991711 | Carolan Rachel Hass | Emergency Medicine | 4755 Fauntleroy Way Sw Unit 110, Seattle, WA 98116-4669 | 2012-04-22 |
| 1265798391 | Sean Tan Nguyen | Emergency Medicine | 325 Ninth Ave., Ms# 359702, Seattle, WA 98104-2420 | 2012-04-03 |
| 1952698243 | Travis Allen Omura | Emergency Medicine | 809a Nw 53rd St, Seattle, WA 98107-3644 | 2011-07-07 |
| 1629361761 | Blaise Bellows | Emergency Medicine | 3235 37th Pl S, Seattle, WA 98144-7017 | 2011-05-23 |
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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.