MR. AMIR ABDUL-JABBAR (NPI# 1801155767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801155767 |
| Entity Type | Individual |
| Full Name | MR. AMIR ABDUL-JABBAR |
| Credential | MD |
| Practice Address |
550 17th Ave Fl 5 Seattle WA 98122-5788 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063863880 |
| Practice Fax Number | 2063863882 |
| Mailing Telephone | (206) 320-4476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD60744420 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 540 N Rossmore Ave #105, Los Angeles, CA 90004 | 3106252155 |
| Street Address |
550 17TH AVE FL 5 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538150800 | Lovelle O. Ralls | Nurse Practitioner | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2005-11-04 |
| 1346703543 | Maisa Ann Rouzer | Registered Nurse | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2019-04-13 |
| 1780168880 | Sahar Etebar | Registered Nurse | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2018-09-24 |
| 1427501162 | Ashish Patel | Nurse Practitioner | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2016-07-29 |
| 1790136554 | Tracy Ann Riesenberger | Physician Assistant | 550 17th Ave Fl 5, Seattle, WA 98122 | 2016-06-23 |
| 1932581295 | Pouriya Ghayoumi | Orthopaedic Surgery | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2015-06-23 |
| 1881081560 | Christopher L Ideen | Physical Medicine & Rehabilitation | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2015-04-21 |
| 1053726000 | Ryan M Goodmanson | Orthopaedic Surgery | 550 17th Ave Fl 5, Seattle, WA 98122 | 2014-06-29 |
| 1861802126 | Benjamin Alexander Schell | Orthopaedic Surgery | 550 17th Ave Fl 5, Seattle, WA 98122-5788 | 2014-05-07 |
| 1306198536 | Joanna Marie Rives | Nurse Practitioner | 550 17th Ave Fl 5, Swedish Neuroscience Institute, Seattle, WA 98122-5788 | 2012-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1447693361 | Jimmy Hoshang Daruwalla | Orthopaedic Surgery | 600 Broadway Ste 440, Seattle, WA 98122 | 2013-04-10 |
| 1275899635 | Andre D Shaffer | Orthopaedic Surgery | 600 Broadway Ste 340, Seattle, WA 98122 | 2012-04-10 |
| 1659664811 | Mia Smucny Hagen | Orthopaedic Surgery | 3800 Montlake Ave Ne, Seattle, WA 98195-2203 | 2011-05-20 |
| 1023245644 | Kim Richards Driftmier | Orthopaedic Surgery | 325 9th Ave N, Seattle, WA 98109-5122 | 2009-06-22 |
| 1437392479 | Jia-wei Kevin Ko | Orthopaedic Surgery | 601 Broadway 6th, Seattle, WA 98122-5330 | 2009-04-07 |
| 1104063932 | Gregory A Demopulos Md, Pllc | Orthopaedic Surgery | 1420 5th Ave Ste 2600, Seattle, WA 98101-2613 | 2009-01-15 |
| 1477748416 | Vincent Ng | Orthopaedic Surgery | 8552 20th Ave Nw, Seattle, WA 98117-3524 | 2007-09-12 |
| 1205996105 | Albert Ooguen Gee | Orthopaedic Surgery | 3850 Montlake Blvd, Room 148, B, Seattle, WA 98195-0007 | 2006-12-11 |
| 1144306952 | Nancy Jennifer Kadel | Orthopaedic Surgery | 3213 Eastlake Avenue East, Suite A, Seattle, WA 98102 | 2006-10-27 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MR. AMIR ABDUL-JABBAR.
| 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.