MICHAEL MAXIN (NPI# 1811040447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811040447 |
Entity Type | Individual |
Full Name | MICHAEL MAXIN |
Practice Address |
200 15th Ave E Seattle WA 98112-5260 |
Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
Practice Telephone | 2063263000 |
Mailing Telephone | 5092417349 |
Mailing Fax Number | 5092417628 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD00036619 | WA | Allopathic & Osteopathic Physicians |
Street Address |
200 15TH AVE E |
City | SEATTLE |
State | WA |
Zip Code | 98112-5260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093874372 | Donna J Delegeane | Nurse Practitioner | 200 15th Ave E, Seattle, WA 98112-5260 | 2006-12-06 |
1063973840 | Annabel Hudson | Registered Nurse | 200 15th Ave E, Seattle, WA 98112-5260 | 2019-03-26 |
1598290744 | Tiana Wright | Registered Nurse | 200 15th Ave E, Cwb-1, Seattle, WA 98112-5260 | 2017-04-25 |
1477861219 | Desiree Yvonne Huitema | Physical Therapist | 200 15th Ave E, Seattle, WA 98112-5260 | 2010-09-14 |
1699977108 | Natalie White | Speech-Language Pathologist | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-06-05 |
1245432020 | Peter Huzyk | Radiology | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-06-04 |
1396953261 | Portia Reyes Maisano-torres | Physical Therapist | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-05-21 |
1104049535 | Errett T. Story | Obstetrics & Gynecology | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-04-11 |
1992825640 | Stephen Bezruchka | Emergency Medicine | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-03-29 |
1508986118 | R Linda Netzky-berkso | Registered Nurse | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
Find all providers in zip 98112 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497318588 | Stephanie Sobrepera | Radiology | Radiology Department Rr 210 1959 Ne Pacific Street, Seattle, WA 98195-3450 | 2019-04-15 |
1104236322 | Thomas John Kofler | Radiology | 1301 Willard Ave W, Seattle, WA 98119-3460 | 2014-04-28 |
1942287859 | Louis I. Juravsky | Radiology | 2412 N 43rd St, Seattle, WA 98103-7644 | 2005-12-30 |
1578884185 | Jeffrey Forris Beecham Chick | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-06-17 |
1871769034 | Kevin Shiu Hong Koo | Radiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-05-07 |
1518189687 | Sandeep S Vaidya | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-05-02 |
1649311572 | Xiaoming Yang | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-02-12 |
1205921673 | David Jonathan Glickerman | Radiology | 1660 S. Columbian Way, (113), Seattle, WA 98108 | 2006-10-03 |
1356445795 | Christopher R Ingraham | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-09-07 |
1982656310 | Joseph Eskridge | Radiology | 550 17th Ave, 5th Floor, Seattle, WA 98122-5788 | 2006-05-16 |
Find all providers in SEATTLE |
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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.