MR. DANE SCOTT TRAVIS (NPI# 1487628202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487628202 |
| Entity Type | Individual |
| Full Name | MR. DANE SCOTT TRAVIS |
| Credential | MD |
| Practice Address |
5343 Tallman Ave Nw Suite 202 Seattle WA 98107 |
| Practice Telephone | 2065470330 |
| Practice Fax Number | 2067890140 |
| Mailing Telephone | 2065470330 |
| Mailing Fax Number | 2067890140 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD9651 | HI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD00033916 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1121086 | 05 | |
| L&I | 133038 | 01 |
| Street Address |
5343 TALLMAN AVE NW SUITE 202 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134445786 | Jessica Ann Sprague | Acupuncturist | 5343 Tallman Ave Nw, Suite 100, Seattle, WA 98107-3931 | 2010-04-07 |
| 1225205545 | Maria Victoria Cruz | Massage Therapist | 5343 Tallman Ave Nw, Suite 104, Seattle, WA 98107-3931 | 2008-05-15 |
| 1700053790 | Thomas J Deal Md | Family Medicine | 5343 Tallman Ave Nw, 203, Seattle, WA 98107-3931 | 2008-05-09 |
| 1952429250 | Sandalwood Healing Arts | Massage Therapist | 5343 Tallman Ave Nw, Suite 104, Seattle, WA 98107-3931 | 2007-03-26 |
| 1346367224 | Shawna Marie Lendzion Harbin | Massage Therapist | 5343 Tallman Ave Nw, #104, Seattle, WA 98107-3931 | 2007-03-23 |
| 1013042555 | Yiwen Su | Acupuncturist | 5343 Tallman Ave Nw, Suite 206, Seattle, WA 98107-3931 | 2007-02-23 |
| 1568597193 | Li Jin | Acupuncturist | 5343 Tallman Ave Nw, Suite 206, Seattle, WA 98107-3931 | 2007-02-23 |
| 1730222019 | Francina Nelly Kraak | Massage Therapist | 5343 Tallman Ave Nw, #101 Tallman Medical Center, Seattle, WA 98107 | 2007-02-15 |
| 1649326869 | James M Squire | Family Medicine | 5343 Tallman Ave Nw, Suite 203, Seattle, WA 98107-3931 | 2007-01-28 |
| 1699823658 | Joan F Gustin | Massage Therapist | 5343 Tallman Ave Nw, Suite 100, Seattle, WA 98107-3931 | 2007-01-08 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| 1407476500 | Charles C. Falzon, Md, Pllc | Family Medicine | 24 Roy St # 359, Seattle, WA 98109-4018 | 2020-04-20 |
| 1669028635 | Seattle World School Health Center | Family Medicine | 1700 E Union St, Seattle, WA 98122-4140 | 2019-08-14 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1619436029 | Galilea Medical Group, Pa | Family Medicine | 7527 42nd Ave Ne, Seattle, WA 98115-5101 | 2019-03-15 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1740769868 | Oasis Medical Group, P.C. | Family Medicine | 301 Union St Unit 21502, Seattle, WA 98111-1623 | 2018-08-09 |
| 1316453608 | William Curchin | Family Medicine | 904 7th Ave Fl 9, Seattle, WA 98104-1132 | 2017-12-21 |
| 1871020933 | Seattle Sports & Regenerative Medicine | Family Medicine | 1000 Dexter Ave N Ste 300, Seattle, WA 98109-3579 | 2017-05-18 |
| 1790210847 | Christina Choung | Family Medicine | 211 Pike St Fl 8, Seattle, WA 98101-2107 | 2017-04-26 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MR. DANE SCOTT TRAVIS.
| 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.