GARY L. REA (NPI# 1629063664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629063664 |
| Entity Type | Individual |
| Full Name | GARY L. REA |
| Credential | MD |
| Practice Address |
3815 S Othello St Fl 2 Seattle WA 98118-3510 |
| Mailing Address |
Po Box 3007 Seattle WA 98114-3007 |
| Practice Telephone | 2067883500 |
| Practice Fax Number | 2066525216 |
| Mailing Telephone | 2067883500 |
| Mailing Fax Number | 2066525216 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 60167344 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
3815 S OTHELLO ST FL 2 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330625 | Maribeth Mate Abedi | Registered Nurse | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2020-03-03 |
| 1144861519 | Paul Nguyen | Pharmacist | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2019-10-07 |
| 1336708304 | Tuyen Vo | Registered Nurse | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2019-06-12 |
| 1114452745 | Ling Wang | Registered Nurse | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2017-04-20 |
| 1891128633 | Quyen Chiem | Pharmacist | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2013-08-15 |
| 1184944779 | Shirley N Hutchison | Dietitian, Registered | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2010-06-04 |
| 1346414182 | Winnie E Lee | Physician Assistant | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2008-04-14 |
| 1053596718 | Helen Louie | Pharmacist | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2007-12-31 |
| 1508990631 | Holly Park Pharmacy | Pharmacy | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243820 | Kiana Uylukcu | Neurological Surgery | Medex Northwest, 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105-3007 | 2016-09-19 |
| 1659618510 | Antonio A Moure | Neurological Surgery | 1521 2nd Ave, Apartment 1400, Seattle, WA 98101-4500 | 2013-01-12 |
| 1699033894 | Calvin Curtis Whaley | Neurological Surgery | 550 17th Ave Ste 110, Seattle, WA 98122-5789 | 2012-04-25 |
| 1285822197 | Amir Kershenovich Rabinovitz | Neurological Surgery | 401 Broadway E # 2075, Seattle, WA 98102-5021 | 2007-10-05 |
| 1972710044 | Rod J Oskouian Jr. | Neurological Surgery | Seattle Neuroscience Specialists, 550 1th Ave 5th Floor, Seattle, WA 98122-5788 | 2007-05-17 |
| 1659594083 | William R. Miele | Neurological Surgery | 125 16th Ave E Fl 3, Seattle, WA 98112-5211 | 2007-04-11 |
| 1285756304 | Jean-christophe Andre Leveque | Neurological Surgery | 1100 Ninth Ave, Dept of Neurosugery X7-ns, Seattle, WA 98101 | 2007-04-06 |
| 1013074558 | Trent Lane Tredway | Neurological Surgery | 737 Olive Way Apt 2502, Seattle, WA 98101-3751 | 2007-01-03 |
| 1710046511 | Marc R Mayberg | Neurological Surgery | 1959 Ne Pacific St Box 356165, Seattle, WA 98195-5788 | 2006-12-07 |
| 1164581054 | David W Newell | Neurological Surgery | 550 17th Ave Ste 240, Seattle, WA 98122-5877 | 2006-12-06 |
| Find all providers in SEATTLE | ||||
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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.