REBECCA GYWNNE MAINE (NPI# 1700112240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700112240 |
| Entity Type | Individual |
| Full Name | REBECCA GYWNNE MAINE |
| Credential | M.D. |
| Practice Address |
325 9th Ave Seattle WA 98104-2420 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD60668463 | WA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD60668463 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1700112240 | 05 |
| Street Address |
325 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395743 | Judith Kay Glann | Nurse Practitioner | 325 9th Ave, Seattle, WA 98104-2420 | 2005-06-08 |
| 1720688427 | Angelo John Jamora | Advanced Practice Midwife | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-30 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
| 1184222739 | Kristi Griffing | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-10-15 |
| 1558968925 | Maeve Muldowney | Anesthesiology | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-07 |
| 1073128203 | Allison Engstrom | Social Worker | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-14 |
| 1376158501 | Vallie Jacobson | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-14 |
| 1801401187 | Leigh Anne Kalaman | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-13 |
| 1114532496 | Shayna Erickson | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-13 |
| 1144834698 | Tonya L Webb | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942353016 | William C Mcquinn V | Surgery | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
| 1437336286 | Ts Washington, LLC | Surgery | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2008-01-23 |
| 1356489231 | Ronald M Graff | Surgery | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-02-02 |
| 1063446672 | Matthew Joseph Eckert | Surgery | 9040 Fitzsimmons Dr, Dept Surgery, Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431-1000 | 2006-07-10 |
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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.