ISAAC ARNOLD BOHANNON (NPI# 1497964720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497964720 |
| Entity Type | Individual |
| Full Name | ISAAC ARNOLD BOHANNON |
| Credential | MD |
| Practice Address |
1660 S Columbian Way Mail Stop S-112oto Seattle WA 98108-1532 |
| Mailing Address |
11511 Ne 10th St Bellevue WA 98004-8578 |
| Practice Telephone | 2067642424 |
| Practice Fax Number | 2067642063 |
| Mailing Telephone | 8009955658 |
| Mailing Fax Number | 4255023589 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 27041 | AL | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD60147213 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1660 S COLUMBIAN WAY MAIL STOP S-112OTO |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1285235309 | Peter B Min | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-11-04 |
| 1548860299 | Justin William Almeida | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-30 |
| 1528667516 | Nicole Leacock | Registered Nurse | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-20 |
| 1114525664 | Melissa Anne Janke | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-15 |
| 1154928109 | Erin Schober | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-02 |
| 1144835562 | Nora Dinverno | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-09-11 |
| 1114539228 | Jessica Greenbaum | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-19 |
| 1982216420 | Clayton Daniel Kinney | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-17 |
| 1871103713 | Tara A Crouch | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| 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. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750802328 | Brittany Regan Barber | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195 | 2017-07-04 |
| 1831351360 | Jeffrey John Houlton | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-26 |
| 1316020159 | Neal David Futran | Otolaryngology | 1959 Ne Pacific St, Box 356515, Seattle, WA 98195-6515 | 2006-10-23 |
| 1316972292 | David Edward Vokes | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-07-11 |
| 1346289865 | Michael J. Wolfe | Otolaryngology | 1101 Madison St, Suite 301, Seattle, WA 98104-1306 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205226099 | Facialbeauty.com, Pllc | Otolaryngology | 11040 Main St, Suite 102, Bellevue, WA 98004-6363 | 2015-01-31 |
| 1295371060 | Cloud 9 Surgery Center | Otolaryngology | 1231 116th Ave Ne Ste 900, Bellevue, WA 98004-3822 | 2019-11-26 |
| 1598103970 | Jeffrey Cabral Teixeira | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-06-07 |
| 1588854178 | Clinic for Ear Nose Throat Head & Neck Medicine & Surgery P S | Otolaryngology | 307 S 12th Ave, Suite 12, Yakima, WA 98902-3100 | 2007-07-30 |
| 1184716144 | Robert Verne Wiggins | Otolaryngology | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2006-09-28 |
| 1134139595 | Marc William Herr | Otolaryngology | 9040 Jackson Ave, Tacoma, WA 98431-4501 | 2006-08-09 |
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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.