PUGET SOUND NEUROLOGY (NPI# 1740273366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740273366 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND NEUROLOGY |
| Practice Address |
7320 216th St Sw Ste 310 Edmonds WA 98026-8006 |
| Mailing Address |
7320 216th St Sw Suite 310 Edmonds WA 98026-8006 |
| Practice Telephone | 4256733800 |
| Practice Fax Number | 4256733802 |
| Mailing Telephone | 4256733800 |
| Mailing Fax Number | 4256723803 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | ELLEN M MODELL (NEUROLOGIST) |
| Authorized Official Telephone | 4256733800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7087844 | 05 | |
| WA | RR MEDICARE | CG9954 | 01 |
| Street Address |
7320 216TH ST SW STE 310 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596866 | Joel R Hadfield | Pharmacist | 7320 216th St Sw, Ste 100, Edmonds, WA 98026-8006 | 2005-05-23 |
| 1982061784 | Katherine A. Severinghaus | Physical Therapist | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2016-01-25 |
| 1568845253 | David A. Applbaum | Physician Assistant | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2015-06-30 |
| 1922441500 | Trinity Sleep Services Inc | Durable Medical Equipment & Medical Supplies | 7320 216th St Sw, Suite 30, Edmonds, WA 98026-8006 | 2013-04-12 |
| 1912247883 | Laboratory Corporation of America | Clinical Medical Laboratory | 7320 216th St Sw, Suite 140, Edmonds, WA 98026-8006 | 2013-02-28 |
| 1902146509 | Laboratory Corporation of America | Clinical Medical Laboratory | 7320 216th St Sw, Suite 140, Edmonds, WA 98026-8006 | 2013-02-20 |
| 1346585841 | Stephanie Miller | Pharmacist | 7320 216th St Sw, Suite 100, Edmonds, WA 98026-8006 | 2012-12-10 |
| 1912256926 | David W Green | Pharmacist | 7320 216th St Sw, Edmonds, WA 98026-8006 | 2012-09-05 |
| 1831446947 | Michele Street | Pharmacist | 7320 216th St Sw, Suite 100, Edmonds, WA 98026-8006 | 2012-08-08 |
| 1720341597 | Michael John Wong | Pharmacist | 7320 216th St Sw, Suite 100, Edmonds, WA 98026-8006 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1063862316 | K&k Industries LLC Dba The Workshop | Specialist | 172 Sunset Ave, Edmonds, WA 98020-4134 | 2016-06-17 |
| 1366832784 | Christopher Rizzi | Specialist | 7501 242nd Pl Sw, Edmonds, WA 98026-8539 | 2015-01-24 |
| 1356652705 | Kirsten Johnson | Specialist | 9405 218th Pl Sw, Edmonds, WA 98020-3947 | 2010-06-30 |
| 1982892568 | Carrie Deann Dahlgren | Specialist | 8512 242nd St Sw, Unit 7, Edmonds, WA 98026-9076 | 2007-10-09 |
| 1295958593 | Stephanie Ann Harris | Specialist | 8523 224th St Sw, Edmonds, WA 98026-8253 | 2007-04-11 |
| 1972621662 | Patricia L Mcquinn | Specialist | 7631 212th St Sw Ste 106b, Edmonds, WA 98026-7565 | 2007-03-27 |
| 1215063045 | Serena Lacour | Specialist | 7614 195th St Sw Ste 101, Edmonds, WA 98026-6260 | 2007-02-26 |
| 1912055419 | Mariya Preston | Specialist | 23303 Highway 99 Ste G, Edmonds, WA 98026-8762 | 2007-01-08 |
| 1215091368 | Kruger Clinic Orthopaedics, Pllc | Specialist | 21600 Hwy 99 Ste 150, Edmonds, WA 98026 | 2006-12-21 |
| Find all providers in EDMONDS | ||||
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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.