JESUS B. SY


Address: 2535 Beacon Ave S, Suite A, Seattle, WA 98144-5125
Phone: 2063256036

JESUS B. SY (NPI# 1407973779) 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) 1407973779
Entity Type Individual
Full Name JESUS B. SY
Credential MD
Practice Address 2535 Beacon Ave S
Suite A
Seattle
WA 98144-5125
Practice Telephone 2063256036
Mailing Telephone 2063256036
Enumeration Date 2007-03-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
MD00022556 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 2535 BEACON AVE S
SUITE A
City SEATTLE
State WA
Zip Code 98144-5125

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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

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1518079664 Gregory David Rudolf Family Medicine 1101 Madison St, Ste 200, Seattle, WA 98104-1306 2006-08-31
1851302764 Thomas John Deal Family Medicine 5343 Tallman Ave Nw, Suite 203, Seattle, WA 98107-3931 2006-08-10

Providers in the same taxonomy and state

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1962928200 E & H Holdings, LLC Family Medicine 708 E Penn St, Moses Lake, WA 98837 2017-08-18
1851816409 Ideal Option, Pllc Family Medicine 406 Se 131st Ave Ste 104, Vancouver, WA 98683-4031 2017-08-04
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1558685925 Central Washington Sleep Diagnostic Center, Pllc Family Medicine 2323 W Broadway Ave Ste 4, Moses Lake, WA 98837 2010-03-15
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Competitor

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City SEATTLE
Zip Code 98144

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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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