AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE (NPI# 1902043284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902043284 |
| Entity Type | Organization |
| Organization Name | AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE |
| Practice Address |
13610 1st Ave S Burien WA 98168-3404 |
| Practice Telephone | 2062458502 |
| Practice Fax Number | 2062448425 |
| Mailing Telephone | 2062458502 |
| Mailing Fax Number | 2062448425 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | DR. ELIE LEVY (OWNER) |
| Authorized Official Telephone | 2062485020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7089576 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962935 | Aesthetic & General Dermatology of Seattle | Specialist | 13610 1st Ave S, Burien, WA 98168-3404 | 2005-06-14 |
| Street Address |
13610 1ST AVE S |
| City | BURIEN |
| State | WA |
| Zip Code | 98168-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962935 | Aesthetic & General Dermatology of Seattle | Specialist | 13610 1st Ave S, Burien, WA 98168-3404 | 2005-06-14 |
| 1134364813 | Jonathan David Cyphers | Physician Assistant | 13610 1st Ave S, Burien, WA 98168-3404 | 2008-12-09 |
| 1427053834 | Elie Levy | Specialist | 13610 1st Ave S, Burien, WA 98168-3404 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1952878746 | Maria Sherisse Santos-nichol | Nurse Practitioner | 13610 1st Ave South, Burien, WA 98168 | 2018-10-30 |
| 1790292084 | Shizuno Wynkoop | Behavioral Analyst | 10827 3rd Ave S, Seattle, WA 98168 | 2018-01-08 |
| 1043766751 | Il-jea Bahk | Pharmacist | 14300 First Ave S, Burien, WA 98168 | 2016-09-01 |
| 1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
| 1639597651 | Ivy Walker | Point of Service | 2225 S 112th St Apt C309, Seattle, WA 98168 | 2014-04-07 |
| 1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
| 1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
| 1215206313 | Healthpoint | Clinic/Center | 13030 Military Road S, Suite 200, Tukwila, WA 98168 | 2011-12-19 |
| 1861787020 | Jonathan Richard Chenoweth | Student in an Organized Health Care Education/Training Program | 12400 E Marginal Way S, Amb-2, Tukwila, WA 98168 | 2011-06-16 |
| Find all providers in zip 98168 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376727214 | Proliance Surgeons Inc Ps | Clinic/Center | 275 Southwest 160th Street, Suite 200, Burien, WA 98166-3059 | 2007-12-27 |
| 1033393012 | Michael E. Blatner, Md Ps | Clinic/Center | 16259 Sylvester Rd Sw Ste 302, Burien, WA 98166-3059 | 2007-12-26 |
| 1902868797 | Sw Seattle Ambulatory Surgery, LLC | Clinic/Center | 275 Sw 160th St, Suite 200, Burien, WA 98166-3003 | 2006-04-05 |
| 1942593165 | Vincent N Muoneke Md Ps | Clinic/Center | 16233 Sylvester Rd Sw, Suite 280, Burien, WA 98166-3045 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| Find all providers with the same taxonomy | ||||
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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.