RANDALL A BLY


Address: 1959 Ne Pacific St, Box 356161, Ne-306, Seattle, WA 98195-0001
Phone: 2065984022

RANDALL A BLY (NPI# 1457592396) 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) 1457592396
Entity Type Individual
Full Name RANDALL A BLY
Practice Address 1959 Ne Pacific St
Box 356161, Ne-306
Seattle
WA 98195-0001
Mailing Address 14015 36th Ave Ne
Seattle
WA 98125-3725
Practice Telephone 2065984022
Mailing Telephone 4402410706
Enumeration Date 2009-03-23
Last Update Date 2016-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
MD60671186 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 1959 NE PACIFIC ST
BOX 356161, NE-306
City SEATTLE
State WA
Zip Code 98195-0001

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033504196 Jason Sun-hyung Park Otolaryngology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2015-04-04
1760724892 Juliana Bonilla-velez Otolaryngology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2013-03-27
1376786087 John P Dahl Otolaryngology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2009-04-10
1518122373 Tianjie Shen Otolaryngology 4800 Sand Point Way Ne, M/s W-7729, Seattle, WA 98105-3901 2008-07-22
1477715696 Kaalan E Johnson Otolaryngology 4800 Sand Point Way Ne, Oa.9.220 - Otolaryngology-ent, Seattle, WA 98105-3901 2008-06-29
1306032347 Jonathan Skirko Otolaryngology 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-0001 2007-09-24
1902982689 Henry C Ou Otolaryngology 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-27
1689607855 Northwest Pediatric Otolaryngology Group Otolaryngology 6850 35th Ave Ne, Suite 4, Seattle, WA 98115-7344 2006-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619234135 Hannah Elizabeth Qualls Otolaryngology 217 W Cataldo Ave, Spokane, WA 99201 2012-04-20
1750351797 Mark E Boseley Otolaryngology 311 S L St, Tacoma, WA 98405-3720 2006-01-24

Competitor

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City SEATTLE
Zip Code 98195

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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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