DR. PEGGY LEE PORTER (NPI# 1740534510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740534510 |
| Entity Type | Individual |
| Full Name | DR. PEGGY LEE PORTER |
| Credential | M.D. |
| Practice Address |
1100 Fairview Ave N Seattle WA 98109-4433 |
| Practice Telephone | 2066673751 |
| Mailing Telephone | 2066673751 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
00028302 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497881742 | Peggy J Porter | Nurse Practitioner | 81-6587 Mamalahoa Hwy, C 201, Kealakekua, HI 96750 | 2007-02-23 |
| Street Address |
1100 FAIRVIEW AVE N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548359698 | Paul Vincent O'donnell | Internal Medicine | 1100 Fairview Ave N, Seattle, WA 98109-4433 | 2006-10-12 |
| 1073044491 | Chs Washington State Medical P C | Clinic/Center | 1100 Fairview Ave N, Seattle, WA 98109-4433 | 2017-03-27 |
| 1427414564 | Claudia Kumai | Physician Assistant | 1100 Fairview Ave N, Me-b143, Seattle, WA 98109-4433 | 2016-01-05 |
| 1821434234 | Lindsay Marie Hannan | Internal Medicine | 1100 Fairview Ave N, D5-100, Seattle, WA 98109-4433 | 2013-05-13 |
| 1922356799 | Caroline Victoria Taylor | Preventive Medicine | 1100 Fairview Ave N, Seattle, WA 98109-4433 | 2012-08-27 |
| 1831328566 | Andrew Daniel Trister | Radiology | 1100 Fairview Ave N, C-108, Seattle, WA 98109-4433 | 2009-07-01 |
| 1538394275 | Kanwaldeep K Mallhi | Pediatrics | 1100 Fairview Ave N, Thomas Building, D5-387, Seattle, WA 98109-4433 | 2009-05-26 |
| 1457508632 | Solomon A Graf | Internal Medicine | 1100 Fairview Ave N, D5-100, Seattle, WA 98109-4433 | 2008-08-19 |
| 1396907275 | Johnnie Jose Orozco | Internal Medicine | 1100 Fairview Ave N, D3-190, Seattle, WA 98109-4433 | 2008-07-01 |
| 1528234143 | Seth Michaels Pollack | Internal Medicine | 1100 Fairview Ave N, D3-100, Seattle, WA 98109-4433 | 2008-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
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| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023225489 | Ryuji Ohashi | Pathology | Uwmc Pathology 1959 Ne Pacific, Box356100, Seattle, WA 98195-0001 | 2007-05-16 |
| 1033245865 | Aashiyana Faruk Koreishi | Pathology | 1001 Klickitat Way Sw Suite 205, Psip, Seattle, WA 98134 | 2007-02-26 |
| 1861443418 | Monica E. De Baca | Pathology | 4121 48th Ave S, Seattle, WA 98118-1225 | 2006-05-16 |
| 1619929809 | Richard G Patton | Pathology | 2111 N. Northgate Way, #201, Seattle, WA 98133-0160 | 2006-05-16 |
| 1598299364 | Elizabeth Ursula Parker | Pathology | 1959 Ne Pacific St, Health Sciences Building C-517, Box 357470, Seattle, WA 98195-7470 | 2017-04-18 |
| 1174905814 | Shahad Abdulameer | Pathology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2015-06-18 |
| 1629455464 | Michael C Haffner | Pathology | 325 9th Ave, Seattle, WA 98104 | 2015-04-30 |
| 1396139549 | Daniel S Martig | Pathology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2015-03-26 |
| 1033552377 | Rebeca Alvarez | Pathology | 1959 Ne Pacific St, Seattle, WA 98195-4699 | 2013-04-16 |
| 1356784037 | Caitlin Shannon Latimer | Pathology | 1959 Ne Pacific St, Box 356100, Seattle, WA 98195-6100 | 2013-04-11 |
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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.