MARVIN S. KROBER (NPI# 1639221088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639221088 |
Entity Type | Individual |
Full Name | MARVIN S. KROBER |
Credential | M.D. |
Practice Address |
125 16th Ave E Csb-4 Seattle WA 98112-5211 |
Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
Practice Telephone | 2063263530 |
Mailing Telephone | 5092417349 |
Mailing Fax Number | 5092417628 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD00036504 | WA | Allopathic & Osteopathic Physicians |
N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
MD00036504 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8233199 | 05 |
Street Address |
125 16TH AVE E CSB-4 |
City | SEATTLE |
State | WA |
Zip Code | 98112-5211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003818709 | Andrew Dean Feld | Internal Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2005-08-11 |
1194291112 | Mary Louise Greenwood | Physician Assistant | 125 16th Ave E, Seattle, WA 98112-5211 | 2018-10-17 |
1235641945 | Mi-ae Johnson | Nurse Practitioner | 125 16th Ave E, Seattle, WA 98112-5211 | 2017-11-03 |
1144752205 | Taryn M. Hansen | Family Medicine | 125 16th Ave E, Csb 545, Seattle, WA 98112-5211 | 2017-03-29 |
1477084077 | Joy Rochell Thurman | Family Medicine | 125 16th Ave E, Csb 545, Seattle, WA 98112-5211 | 2017-03-24 |
1154852333 | Amy Melville | Physician Assistant | 125 16th Ave E, Seattle, WA 98112-5211 | 2017-03-21 |
1649727629 | Kristin Pyles | Physician Assistant | 125 16th Ave E, Seattle, WA 98112-5211 | 2016-09-07 |
1083066625 | Elizabeth Hulbrock | Dietitian, Registered | 125 16th Ave E, Cwb F112, Seattle, WA 98112-5211 | 2016-07-07 |
1104288133 | Megan Hirsh | Family Medicine | 125 16th Ave E, Csb-540 Group Health Family Medicine, Seattle, WA 98112-5211 | 2016-03-29 |
1205298882 | Natalie Wilhelm | Family Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2016-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
Find all providers in zip 98112 |
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 |
---|---|---|---|---|
1568675544 | Robert Michael Lehman | Pediatrics | 1545 Nw 57th St, #522, Seattle, WA 98107-5643 | 2007-05-07 |
1508927062 | David Alan Springer | Pediatrics | 4005 Wallingford Ave N, Seattle, WA 98103-8218 | 2006-12-12 |
1811315575 | Gina Sequeira | Pediatrics | 4540 Sand Point Way Ne Ste 200, Seattle, WA 98105-3941 | 2014-03-31 |
1124461694 | Do-quyen Pham | Pediatrics | 4540 Sand Point Way Ne, Suite 200, Seattle, WA 98105-3941 | 2013-04-15 |
1518117852 | Florence Desrosiers | Pediatrics | 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2008-09-23 |
1447324140 | Cora C. Breuner | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-17 |
1598836124 | Taraneh Shafii | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-13 |
1144309402 | Robin D Ifft | Pediatrics | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-11-06 |
1447331798 | Laura P Richardson | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
1366523615 | Ann E Giesel | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
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.