CONNIE A INNIS


Address: 2700 152nd Ave Ne, Redmond, WA 98052-5543
Phone: 4258835151

CONNIE A INNIS (NPI# 1649487836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649487836
Entity Type Individual
Full Name CONNIE A INNIS
Credential MD
Practice Address 2700 152nd Ave Ne
Redmond
WA 98052-5543
Mailing Address Po Box 34581
Seattle
WA 98124-1581
Practice Telephone 4258835151
Mailing Telephone 5092417349
Mailing Fax Number 5092417628
Enumeration Date 2007-05-17
Last Update Date 2009-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD00033090 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8249864 05

Office Location

Street Address 2700 152ND AVE NE
City REDMOND
State WA
Zip Code 98052-5543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235109885 Ronald Jason Matthews Physical Therapist 2700 152nd Ave Ne, Redmond, WA 98052-5543 2006-01-25
1659540912 Rebecca Leigh Parrish Social Worker 2700 152nd Ave Ne, Redmond, WA 98052-5543 2008-02-20
1942485222 Heather Pearl Klug Pharmacist 2700 152nd Ave Ne, Redmond, WA 98052-5543 2008-01-04
1154505444 Sarah Lenore Rudnick Pediatrics 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-12-21
1740461458 Diane Michelle Baskin-thompson Nurse Practitioner 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-11-21
1376732982 Group Health Cooperative Substance Abuse Rehabilitation Facility 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-10-19
1952591075 Beth Kristenson Nurse Anesthetist, Certified Registered 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-07-25
1033318126 Karen Purcell Nurse Anesthetist, Certified Registered 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-07-17
1457557019 Robert D. Highley Internal Medicine 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-06-21
1851513360 Susan Brown Dean Physical Therapist 2700 152nd Ave Ne, Redmond, WA 98052 2007-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396301255 Saraa Abdulateef Dentist 16150 Ne 85th St., #212, Redmond, WA 98052 2019-05-16
1174186837 Zeinab Birjandian Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 2019-04-18
1023584026 Washington Dental Corporation, PC Dentist 17126 Redmond Way, Redmond, WA 98052 2018-10-17
1275047599 Simeon P Roth Pharmacist 8547 Avondale Road Ne, Redmond, WA 98052 2017-11-22
1427560267 Rania Abou Shadi Pharmacy 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 2017-11-02
1376068981 Mark W Debourke Clinic/Center 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 2017-08-04
1740712280 Hyomi Cho Dentist 15165 Ne24 Th St, Redmond, WA 98052 2017-04-03
1871033878 Redmond Ambulatory Surgery Center, LLC Clinic/Center 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 2017-02-24
1346797933 Bridger Griffin Speech-Language Pathologist 8301 16st Ave Ne, Redmond, WA 98052 2016-09-01
1508313123 Austin Schieler Pharmacist 14480 Ne 24th Street, Redmond, WA 98052 2016-09-01
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336503341 Central Oregon Magnetic Resonance Imaging LLC Radiology 1253 Nw Canal Blvd Ste 101, Redmond, OR 97756-1334 2016-04-06
1346418647 Cascade Medical Imaging LLC Radiology 1253 N Canal, Redmond, OR 97756 2008-02-20
1801064100 Central Oregon Magnetic Resonance Imaging LLC Radiology 1531 N Canal Blvd, Redmond, OR 97756 2008-02-20
1821649963 Cascade Medical Imaging LLC Radiology 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 2019-09-20
1881863991 Cascade Medical Imaging LLC Radiology 1531 N Canal Blvd, Redmond, OR 97756 2008-02-22
1750425369 Esther E Argenyi Radiology 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-02-16
1376696690 Curtis H Northrop Radiology 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-01-19
1356493506 James G. Tomich Radiology 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-01-17
1568513364 Thomas R. Vimont Radiology 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-01-16
1639220155 Joseph G. Duffy Radiology 2700 152nd Ave Ne, Redmond, WA 98052-5543 2007-01-12
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Competitor

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City REDMOND
Zip Code 98052

Improve Information

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Dataset Information

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.

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