DR. STEPHANIE SOBREPERA (NPI# 1497318588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497318588 |
Entity Type | Individual |
Full Name | DR. STEPHANIE SOBREPERA |
Other Name | STEPHANIE NGUYEN |
Credential | MD |
Practice Address |
Radiology Department Rr 210 1959 Ne Pacific Street Seattle WA 98195-3450 |
Mailing Address |
1959 Ne Pacific St Fl 2 Seattle WA 98195-0001 |
Practice Telephone | 2065986483 |
Mailing Telephone | 2065987200 |
Enumeration Date | 2019-04-15 |
Last Update Date | 2020-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ML61059938 | WA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
100 E Lancaster Ave, Wynnewood, PA 190963450 | 4844762176 |
Street Address |
RADIOLOGY DEPARTMENT RR 210 1959 NE PACIFIC STREET |
City | SEATTLE |
State | WA |
Zip Code | 98195-3450 |
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 Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104236322 | Thomas John Kofler | Radiology | 1301 Willard Ave W, Seattle, WA 98119-3460 | 2014-04-28 |
1942287859 | Louis I. Juravsky | Radiology | 2412 N 43rd St, Seattle, WA 98103-7644 | 2005-12-30 |
1578884185 | Jeffrey Forris Beecham Chick | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-06-17 |
1871769034 | Kevin Shiu Hong Koo | Radiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-05-07 |
1518189687 | Sandeep S Vaidya | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-05-02 |
1649311572 | Xiaoming Yang | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-02-12 |
1811040447 | Michael Maxin | Radiology | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-01-18 |
1205921673 | David Jonathan Glickerman | Radiology | 1660 S. Columbian Way, (113), Seattle, WA 98108 | 2006-10-03 |
1356445795 | Christopher R Ingraham | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-09-07 |
1982656310 | Joseph Eskridge | Radiology | 550 17th Ave, 5th Floor, Seattle, WA 98122-5788 | 2006-05-16 |
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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.