DR. SUSAN M PETCOFF (NPI# 1710910716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910716 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M PETCOFF |
| Credential | D.O |
| Practice Address |
220 W Mercer St Ste 110 Seattle WA 98119-3954 |
| Practice Telephone | 2067811830 |
| Practice Fax Number | 2062833640 |
| Mailing Telephone | 2067811830 |
| Mailing Fax Number | 2062833640 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OP00001185 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1112689 | 05 |
| Street Address |
220 W MERCER ST STE 110 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98119-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255364261 | Lynne A Haspedis | Obstetrics & Gynecology | 220 W Mercer St Ste 110, Seattle, WA 98119-3954 | 2006-07-10 |
| 1992738918 | Queen Anne Obstetrics and Gynecology | Obstetrics & Gynecology | 220 W Mercer St Ste 110, Seattle, WA 98119-3954 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1578182689 | Kacie Krantz | Nutritionist | 1511 11th Ave W #3, Seattle, WA 98119 | 2020-04-09 |
| 1427539949 | Jessica Roberts Calhoun | Registered Nurse | Mcclure Middle School, 1915 1st Ave W, Seattle, WA 98119 | 2018-08-23 |
| 1144745704 | Jessalyn A Coleman | Specialist/Technologist | 3307 Third Ave W, Seattle, WA 98119 | 2017-08-04 |
| 1013431337 | Catherine Alexa Batiquin | Massage Therapist | 415 W Mercer St., 101, Seattle, WA 98119 | 2017-07-28 |
| 1962958546 | Sarah Olivia Keller | Counselor | 2617 14th Ave West, Apt. 2, Seattle, WA 98119 | 2016-09-01 |
| 1588040836 | Seattle Face and Skin, Pllc | Otolaryngology | 200 W. Galer St, Seattle, WA 98119 | 2015-08-09 |
| 1376971580 | Jennifer Frechette | Counselor | 11 W. Mcgraw St, Seattle, WA 98119 | 2013-10-25 |
| 1770911943 | Grace Hearn | Counselor | 200 1st Avenue West, Suite 400, Seattle, WA 98119 | 2013-10-24 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| Find all providers in zip 98119 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982870796 | Theresa A Burdick Md LLC | Obstetrics & Gynecology | 801 Broadway Suite 707, Seattle, WA 98122 | 2008-05-01 |
| 1801914114 | Women's Clinical Research Center, Ps | Obstetrics & Gynecology | 3216 Ne 45th Pl Ste 100, Seattle, WA 98105-4028 | 2007-03-26 |
| 1407907835 | Michael Edward Greer | Obstetrics & Gynecology | 509 Olive Way Ste 1349, Seattle, WA 98101-2549 | 2007-01-13 |
| 1407914930 | Peter Brandon | Obstetrics & Gynecology | 5410 Barnes Ave Nw, Seattle, WA 98107-3839 | 2006-12-05 |
| 1225354848 | Philip D Welch M.d. | Obstetrics & Gynecology | 801 Broadway, Ste 628, Seattle, WA 98122-4396 | 2010-04-08 |
| 1073845053 | Ou Clinic Tr | Obstetrics & Gynecology | 10330 Meridian Ave N, Suite 372, Seattle, WA 98133-9451 | 2010-02-02 |
| 1831341569 | Ballard Women's Health | Obstetrics & Gynecology | 5410 Barnes Ave Nw, Seattle, WA 98107-3839 | 2008-10-13 |
| 1346371002 | Kathleen Stine | Obstetrics & Gynecology | 2001 E Madison St, Seattle, WA 98122-2959 | 2007-03-07 |
| 1376680181 | Womens Clinic of Seattle | Obstetrics & Gynecology | 3216 Ne 45th Pl Ste 212, Seattle, WA 98105-4028 | 2007-01-31 |
| 1114016177 | Elizabeth Strickland | Obstetrics & Gynecology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-10-11 |
| 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.