DR. NIKET SHRIVASTAVA (NPI# 1780705947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780705947 |
Entity Type | Individual |
Full Name | DR. NIKET SHRIVASTAVA |
Credential | M.D. |
Practice Address |
4011 Talbot Rd S Suite 300 Renton WA 98055-5773 |
Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
Practice Telephone | 4256565060 |
Practice Fax Number | 4256565047 |
Mailing Telephone | 2062648100 |
Mailing Fax Number | 2062648689 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2011-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 236571 | NY | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD60024708 | WA | Allopathic & Osteopathic Physicians |
Street Address |
4011 TALBOT RD S SUITE 300 |
City | RENTON |
State | WA |
Zip Code | 98055-5773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528061694 | Guy V Buell | Specialist | 4011 Talbot Rd S, Ste 440, Renton, WA 98055-5791 | 2005-05-23 |
1649756883 | Amy Elizabeth Hardiman | Physical Therapy Assistant | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2018-07-11 |
1336665959 | Mary Elizabeth Walton | Dietitian, Registered | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2017-08-15 |
1548791924 | Southlake Select, PC | Point of Service | 4011 Talbot Rd S, 440, Renton, WA 98055-5773 | 2017-03-27 |
1871031864 | Abrey Lee | Dietitian, Registered | 4011 Talbot Rd S, Suite 100, Renton, WA 98055-5773 | 2017-02-09 |
1962940957 | Kimberly Diana Konczak | Dietitian, Registered | 4011 Talbot Rd S, Suite 100, Renton, WA 98055-5773 | 2017-02-09 |
1578931325 | Andrew S Huntley | Physician Assistant | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2015-09-10 |
1285011080 | Anne Macleod | Registered Nurse | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2015-04-30 |
1508263716 | Mie Hagiwara | Physician Assistant | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2014-12-03 |
1073921813 | Zachary A. Bowman | Physician Assistant | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2014-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
Find all providers in zip 98055 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104942036 | Steven L Summerfield Md Inc Ps | Orthopaedic Surgery | 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 | 2007-03-22 |
1043271927 | Steven L Summerfield | Orthopaedic Surgery | 4361 Talbot Rd S, #102, Renton, WA 98055 | 2006-03-30 |
1942271994 | Craig Thomas Arntz | Orthopaedic Surgery | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2006-01-29 |
1023089075 | Traci Granston Barthel | Orthopaedic Surgery | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2006-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326564790 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
1689914541 | Sound Hand and Orthopedics, Pllc | Orthopaedic Surgery | 901 Boren Ave Ste 900, Seattle, WA 98104-3596 | 2013-02-28 |
1083831549 | Eugene Chan Farng | Orthopaedic Surgery | 4245 Roosevelt Way Ne # 354740, Seattle, WA 98105-6008 | 2007-04-19 |
1750450490 | Ghalib A. Husseini | Orthopaedic Surgery | 4446 Eld Ln Nw, Olympia, WA 98502-8806 | 2006-11-07 |
1467493890 | Northwest Hand Specialists, Inc., P.s. | Orthopaedic Surgery | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2006-06-09 |
1437102274 | Strait Orthopedic Specialists. Ps | Orthopaedic Surgery | 832 Georgiana St, Port Angeles, WA 98362-3512 | 2006-05-19 |
1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
1790293173 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2018-01-19 |
1174036826 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2017-11-15 |
1376981282 | Julie Johnson Roberts | Orthopaedic Surgery | 33501 1st Way S, Federal Way, WA 98003 | 2013-06-13 |
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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.