PACIFIC NW FERTILITY AND IVF SPECIALISTS. I. PLLC (NPI# 1518910124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518910124 |
| Entity Type | Organization |
| Organization Name | PACIFIC NW FERTILITY AND IVF SPECIALISTS. I. PLLC |
| Practice Address |
1101 Madison St Suite 1050 Seattle WA 98104-1306 |
| Practice Telephone | 2065150000 |
| Practice Fax Number | 2065150001 |
| Mailing Telephone | 2065150000 |
| Mailing Fax Number | 2065150001 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEE R. HICKOK (PRESIDENT) |
| Authorized Official Telephone | 2065150000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
WA | Allopathic & Osteopathic Physicians |
| Street Address |
1101 MADISON ST SUITE 1050 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324812 | Gregory A. Grant | Podiatrist | 1101 Madison St, Suite 301, Seattle, WA 98104-1306 | 2005-05-24 |
| 1699309260 | Kristin D Covey | Registered Nurse | 1101 Madison St, Ste 700, Seattle, WA 98104-3599 | 2020-02-23 |
| 1083151914 | Alaska Plastic Surgery LLC | Plastic Surgery | 1101 Madison St, Suite 1270, Seattle, WA 98104-1306 | 2017-01-30 |
| 1740727106 | Proliance Surgeons, Inc., P.s. | Obstetrics & Gynecology | 1101 Madison St, Suite 950, Seattle, WA 98104-1306 | 2017-01-24 |
| 1326584673 | Proliance Surgeons, Inc., P.s. | Obstetrics & Gynecology | 1101 Madison St, Suite 1150, Seattle, WA 98104-1306 | 2017-01-10 |
| 1790231116 | Alexandra Brook Fleming | Social Worker | 1101 Madison St, Suite 500, Seattle, WA 98104-1306 | 2016-08-26 |
| 1558815142 | Chelsea Reed | Nurse Practitioner | 1101 Madison St, Suite 1050, Seattle, WA 98104-1306 | 2016-08-11 |
| 1730633637 | Jake Weissman Dds Msd Pllc | Dentist | 1101 Madison St, Suite 1290, Seattle, WA 98104-1306 | 2016-08-09 |
| 1053764423 | Susan M Vetto | Nurse Practitioner | 1101 Madison St, Suite 850, Seattle, WA 98104-1306 | 2016-07-20 |
| 1790145530 | Laura Bartlett | Nurse Practitioner | 1101 Madison St, Ste 700, Seattle, WA 98104-1306 | 2016-03-04 |
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| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265563019 | Christopher Norris Herndon | Obstetrics & Gynecology | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2007-03-07 |
| 1578690962 | Paul Sherman Dudley | Obstetrics & Gynecology | 1505 Westlake Ave N, Suite 400, Seattle, WA 98109-3050 | 2007-02-27 |
| 1336294362 | Kathleen Lin | Obstetrics & Gynecology | 509 Olive Way, Suite 501, Seattle, WA 98101-1720 | 2007-01-23 |
| 1043390511 | Genevieve S Neal-perry | Obstetrics & Gynecology | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2006-10-17 |
| 1578643524 | Lora K Shahine | Obstetrics & Gynecology | 1101 Madison Street, Suite 1050, Seattle, WA 98104 | 2006-10-16 |
| 1760437214 | Lorna A. Marshall | Obstetrics & Gynecology | 1101 Madison St, Suite 1050, Seattle, WA 98104-1306 | 2006-05-23 |
| 1144273731 | Lee R. Hickok | Obstetrics & Gynecology | 1101 Madison St, Suite 1050, Seattle, WA 98104-1306 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669036240 | Jami Taylor | Obstetrics & Gynecology | 11232 Ne 15th St Ste 201, Bellevue, WA 98004-3739 | 2019-04-29 |
| 1588748933 | Edwin D Robins | Obstetrics & Gynecology | 201 W North River Dr Ste 100, Spokane, WA 99201-2262 | 2006-10-24 |
| 1740461961 | Emmett F Branigan | Obstetrics & Gynecology | 2980 Squalicum Pkwy, Suite 103, Bellingham, WA 98225 | 2007-11-15 |
| 1285837526 | Tamara Tin-may Chao | Obstetrics & Gynecology | 1105 Division Ave, Suite 201, Tacoma, WA 98403-1646 | 2007-06-06 |
| 1891918553 | Nw Reproductive Medicine Associates, Pllc | Obstetrics & Gynecology | 12333 Ne 130th Ln Ste 220, Kirkland, WA 98034-7467 | 2007-04-11 |
| 1316096811 | Khurram Shamim Rehman | Obstetrics & Gynecology | 1135 116th Ave Ne, Suite 640, Bellevue, WA 98004-4623 | 2007-01-10 |
| 1760546311 | Edwin Robins Md Ps | Obstetrics & Gynecology | 201 W North River Dr Ste 100, Spokane, WA 99201-2262 | 2006-12-20 |
| 1710056239 | Michael S Opsahl | Obstetrics & Gynecology | 12039 Ne 128th St, Suite 110, Kirkland, WA 98034-3030 | 2006-11-07 |
| 1922177435 | Janet L Kennedy | Obstetrics & Gynecology | 12333 Ne 130th Lane, Suite 220, Kirkland, WA 98034 | 2006-11-07 |
| 1063592897 | Greg E Chow | Obstetrics & Gynecology | Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2006-10-16 |
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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.