DR. DANETTE SWANSON GLASSY (NPI# 1588772511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588772511 |
| Entity Type | Individual |
| Full Name | DR. DANETTE SWANSON GLASSY |
| Credential | MD |
| Practice Address |
2553 76th Ave Se Mercer Island WA 98040-2758 |
| Practice Telephone | 2062752122 |
| Practice Fax Number | 2062750860 |
| Mailing Telephone | 2062752122 |
| Mailing Fax Number | 2062750860 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25593 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1052885 | 05 |
| Street Address |
2553 76TH AVE SE |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316925357 | Julie Ellner | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-01-09 |
| 1336349422 | Mercer Island Pediatric Associates | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2007-07-18 |
| 1922167220 | Theodore Dungan Mandelkorn | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-12-06 |
| 1144285388 | Hal Cooper Quinn | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-04-19 |
| 1902877103 | John Gerard Schreuder | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498280 | Rainier Pediatrics, Inc | Pediatrics | 12904 94th Ave E, Puyallup, WA 98373-5538 | 2014-05-05 |
| 1568675544 | Robert Michael Lehman | Pediatrics | 1545 Nw 57th St, #522, Seattle, WA 98107-5643 | 2007-05-07 |
| 1134343676 | Michael Donlan | Pediatrics | 7103 N Skyline Dr, Spokane, WA 99208-6717 | 2007-04-13 |
| 1508927062 | David Alan Springer | Pediatrics | 4005 Wallingford Ave N, Seattle, WA 98103-8218 | 2006-12-12 |
| 1730247073 | Mohinder Singh Badyal | Pediatrics | 32124 1st Ave S, Ste100, Federal Way, WA 98003-5761 | 2006-12-05 |
| 1396813218 | Penny Russell Tronolone | Pediatrics | Echo Glen Children's Center, 33010 Se 99th St, Snoqualmie, WA 98065 | 2006-11-30 |
| 1164508792 | Deborah J Ayars | Pediatrics | 1901 S Union Ave Ste B1010, Tacoma, WA 98405-1801 | 2006-10-27 |
| 1922027168 | Tania Milad Matta | Pediatrics | 3950 Keene Road, West Richland, WA 99353 | 2006-07-19 |
| 1629025333 | Public Hospital District #1 of King County | Pediatrics | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-05-28 |
| 1861468720 | Gina Suzanne Sucato | Pediatrics | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2006-02-28 |
| Find all providers with the same taxonomy | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
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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.