JACK A. BIRNBAUM (NPI# 1801845268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801845268 |
| Entity Type | Individual |
| Full Name | JACK A. BIRNBAUM |
| Credential | M.D. |
| Practice Address |
2011 Nw Myhre Pl Silverdale WA 98383-8561 |
| Mailing Address |
9621 Ridgetop Blvd Nw Silverdale WA 98383-8502 |
| Practice Telephone | 3608301600 |
| Mailing Telephone | 3608301604 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00029892 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD00029892 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AB2351283 | 01 | |
| REGENCE BLUESHIELD | BI8918 | 01 | |
| RAILROAD MEDICARE | 110055680 | 01 | |
| WA | LABOR & INDUSTRY | 31818 | 01 |
| AETNA | 4394063 | 01 | |
| WA | 8140972 | 05 |
| Street Address |
2011 NW MYHRE PL |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199961 | William Michael Hall | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2006-01-24 |
| 1710432612 | Franciscan Medical Group | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2016-08-20 |
| 1972956472 | Tarandeep Singh Chahal | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2016-07-20 |
| 1285049965 | Peter G. Wilcox | Nurse Practitioner | 2011 Nw Myhre Pl, Silverdale, WA 98383 | 2014-06-21 |
| 1376973909 | Gretchen Ta | Nurse Practitioner | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2013-11-18 |
| 1467682799 | Vivek Agarwal | Allergy & Immunology | 2011 Nw Myhre Pl, Silverdale, WA 98383 | 2009-07-21 |
| 1619104924 | Eric T Lee | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2009-06-12 |
| 1801047790 | The Doctors Clinic A Professional Corporation | Clinic/Center | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2008-10-09 |
| 1528271467 | Susan Lynn Cucciardi | Massage Therapist | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2007-05-07 |
| 1366574501 | Jenifer Lee Henderson | Plastic Surgery | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699078642 | Mary Margaret Higley Carbone | Internal Medicine | 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1497283287 | Shannon Casey | Internal Medicine | 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 | 2017-05-24 |
| 1255606489 | Lindsay Collins | Internal Medicine | 12303 Ne 130th Ln Ste 250, Kirkland, WA 98034-3072 | 2012-03-21 |
| 1295024727 | Qin Ouyang | Internal Medicine | 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 | 2011-04-05 |
| 1881994028 | Swedish Edmonds | Internal Medicine | 21616 76 Ave W, Suite 212, Edmonds, WA 98026 | 2010-10-21 |
| 1699082909 | Aria Endocrinology | Internal Medicine | 12303 Ne 130th Lane, Suite 400, Evergreen Professional Center, Kirkland, WA 98034 | 2010-09-08 |
| 1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
| 1386958882 | Kadapalakere Pathalingappa Manjun Reddy | Internal Medicine | 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 | 2010-07-27 |
| 1679800932 | Arthi Thirumalai | Internal Medicine | 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 | 2009-11-06 |
| 1578762985 | Jennifer L. Mcafee Md Ps | Internal Medicine | 1100 Larrabee Ave, Bellingham, WA 98225-7341 | 2007-07-16 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
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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.