DR. PETER F MAURICE III (NPI# 1518974781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518974781 |
| Entity Type | Individual |
| Full Name | DR. PETER F MAURICE III |
| Credential | M.D. |
| Practice Address |
16259 Sylvester Rd Sw Suite 505 Burien WA 98166-3049 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2062423696 |
| Practice Fax Number | 2062461078 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD00043215 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | AETNA | 0007398507 | 01 |
| WA | 8385783 | 05 | |
| WA | REGENCE BLUE SHIELD | 6049MA | 01 |
| Street Address |
16259 SYLVESTER RD SW SUITE 505 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293511 | William L Clark | Orthopaedic Surgery | 16259 Sylvester Rd Sw, Ste 501, Burien, WA 98166-3059 | 2005-05-24 |
| 1386101244 | Monica Elizabeth Mann | Physical Therapy Assistant | 16259 Sylvester Rd Sw, Burien, WA 98166-3049 | 2019-02-27 |
| 1215400270 | William Seth Carey | Physical Therapy Assistant | 16259 Sylvester Rd Sw, Burien, WA 98166-3049 | 2019-01-02 |
| 1225515471 | Sarah Mattingly | Physical Therapist | 16259 Sylvester Rd Sw, Burien, WA 98166-3049 | 2018-07-20 |
| 1235625377 | Derek Kenneth Mixon | Physical Therapist | 16259 Sylvester Rd Sw, Burien, WA 98166-3049 | 2018-07-02 |
| 1861919268 | Sally Garland | Physical Therapist | 16259 Sylvester Rd Sw, Burien, WA 98166-3049 | 2017-08-25 |
| 1023556727 | Caitlyn Cutshall | Physical Therapist | 16259 Sylvester Rd Sw, Suite 102, Burien, WA 98166-3049 | 2017-02-02 |
| 1538604855 | Tiffany Siu | Physical Therapist | 16259 Sylvester Rd Sw, Three Tree Medical Arts Bldg, Suite 102, Burien, WA 98166-3049 | 2016-12-21 |
| 1821480518 | Paige E Whiteley | Audiologist | 16259 Sylvester Rd Sw, Suite 505, Burien, WA 98166-3049 | 2015-03-04 |
| 1396153334 | Sara Harbi Abdallah Elshafei | Audiologist | 16259 Sylvester Rd Sw, Suite 505, Burien, WA 98166-3049 | 2014-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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| 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 |
|---|---|---|---|---|
| 1861629636 | Chad Victor Ruffin | Otolaryngology | 16259 Sylvester Rd Sw Ste 505, Burien, WA 98166-3059 | 2009-06-18 |
| 1174794267 | Patrick H Mcclean | Otolaryngology | 16259 Sylvester Rd Sw, Suite #505, Burien, WA 98166-3049 | 2008-03-17 |
| 1487664926 | Patrick H Mcclean | Otolaryngology | 16259 Sylvester Rd Sw, Suite 505, Burien, WA 98166-3049 | 2006-08-08 |
| 1356351886 | David C Green | Otolaryngology | 16259 Sylvester Rd Sw, Suite 505, Burien, WA 98166-3049 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
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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.