JOHN D BURGOYNE (NPI# 1467410613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467410613 |
| Entity Type | Individual |
| Full Name | JOHN D BURGOYNE |
| Credential | MD |
| Practice Address |
515 Minor Ave Suite 140 Seattle WA 98104 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2068388345 |
| Practice Fax Number | 2068388346 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD00034623 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD00034623 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD00034623 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | BU5281 | 01 |
| WA | 8206468 | 05 |
| Street Address |
515 MINOR AVE SUITE 140 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461507 | William E Berg | Psychiatry & Neurology | 515 Minor Ave, #210, Seattle, WA 98104 | 2005-07-20 |
| 1235629213 | Hailey Mayo | Specialist/Technologist | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-05-15 |
| 1043717903 | Jennifer Weaver | Nurse Practitioner | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-04-08 |
| 1932635133 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 515 Minor Ave, Suite 160, Seattle, WA 98104-2120 | 2017-05-08 |
| 1962942896 | Anne Hubbell | Dietitian, Registered | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2017-02-25 |
| 1023565975 | Laurel Charbonneau | Physical Therapist | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2016-09-08 |
| 1740636018 | Swedish Health Services | Clinical Medical Laboratory | 515 Minor Ave, Suite 100, Seattle, WA 98104-2120 | 2016-05-05 |
| 1891149027 | Swedish Health Services | Radiology | 515 Minor Ave, Suite 110, Seattle, WA 98104-2120 | 2016-04-13 |
| 1346609575 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 515 Minor Ave, Seattle, WA 98104-2120 | 2016-02-16 |
| 1841664430 | Shannon Noel Narasimhan | Physical Therapist | 515 Minor Ave, Ste 22, Seattle, WA 98104-2120 | 2015-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1043453533 | Sapna Ashok Patel | Otolaryngology | 600 Broadway Ste 280, Seattle, WA 98122-5371 | 2009-04-13 |
| 1588858534 | Deborah Susan Alt | Otolaryngology | 3451 22nd Ave W, Unit B, Seattle, WA 98199-2308 | 2007-09-04 |
| 1366590820 | Nilesh S. Shah | Otolaryngology | 1536 N 115th St Ste 340, Seattle, WA 98133-8412 | 2007-01-08 |
| 1376626796 | Agnes Kau Wah Yue | Otolaryngology | 1801 Nw Market Street, Suite 410, Seattle, WA 98107-3909 | 2006-10-21 |
| 1487757332 | Marc Dante Coltrera | Otolaryngology | Dept. Oto-hns, University of Washington, 1959 Ne Pacific, Seattle, WA 98195 | 2006-09-06 |
| 1609834258 | Constantine W Palaskas | Otolaryngology | 1221 Madison St Ste 1410, Seattle, WA 98104-3555 | 2006-05-03 |
| 1326005968 | Jonathan Chinn | Otolaryngology | 1551 Nw 54th, Ste 101, Seattle, WA 98107 | 2006-04-27 |
| 1518943646 | Joseph Christopher Sniezek | Otolaryngology | 1221 Madison St, Suite 1523, Seattle, WA 98104-3588 | 2005-12-20 |
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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.