CARENA MEDICAL PROVIDERS PS (NPI# 1902935711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902935711 |
| Entity Type | Organization |
| Organization Name | CARENA MEDICAL PROVIDERS PS |
| Other Organization Name | ELLIOTT BAY MEDICAL GROUP |
| Practice Address |
999 3rd Ave Suite 680 Seattle WA 98104-4019 |
| Practice Telephone | 2068386856 |
| Practice Fax Number | 2068383085 |
| Mailing Telephone | 2068386856 |
| Mailing Fax Number | 2068383085 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | MRS. JULIE MARIA SMITH (CLINIC MANAGER) |
| Authorized Official Telephone | 2068386856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 602476731 | WA | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Elliott Bay Medical Group | Former Legal Business Name - Organization |
| Street Address |
999 3RD AVE SUITE 680 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841275369 | Mark J Hamilton | Optometrist | 999 3rd Ave, Seattle, WA 98104-4019 | 2005-12-07 |
| 1508477951 | Weconnect Health Management, LLC | Case Management | 999 3rd Ave, Seattle, WA 98104-4019 | 2020-08-10 |
| 1811376833 | Caresimple Providers Ps | Family Medicine | 999 3rd Ave, Suite 680, Seattle, WA 98104-4019 | 2015-05-22 |
| 1871754226 | Timothy Armstrong Mcafee | Family Medicine | 999 3rd Ave, Free & Clear, #2100, Seattle, WA 98104-4019 | 2008-06-18 |
| 1306961636 | Alere Wellbeing, Inc. | Specialist | 999 3rd Ave, Suite 2100, Seattle, WA 98104-4019 | 2007-03-19 |
| 1396819116 | Seattle Eyecare Center LLC | Optometrist | 999 3rd Ave, 2nd Ave Plaza, Seattle, WA 98104-4019 | 2006-11-20 |
| 1487724696 | Carrie L Pfab | Dietitian, Registered | 999 3rd Ave, Suite 900, Seattle, WA 98104-4019 | 2006-11-08 |
| 1710064522 | Dean Clifford Webb | Pharmacist | 999 3rd Ave, Suite 900, Seattle, WA 98104-4019 | 2006-11-01 |
| 1720035777 | Styliani Ioannis Kondilis | Acupuncturist | 999 3rd Ave, Suite 3800, Seattle, WA 98104-4019 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| 1407476500 | Charles C. Falzon, Md, Pllc | Family Medicine | 24 Roy St # 359, Seattle, WA 98109-4018 | 2020-04-20 |
| 1669028635 | Seattle World School Health Center | Family Medicine | 1700 E Union St, Seattle, WA 98122-4140 | 2019-08-14 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1619436029 | Galilea Medical Group, Pa | Family Medicine | 7527 42nd Ave Ne, Seattle, WA 98115-5101 | 2019-03-15 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1740769868 | Oasis Medical Group, P.C. | Family Medicine | 301 Union St Unit 21502, Seattle, WA 98111-1623 | 2018-08-09 |
| 1316453608 | William Curchin | Family Medicine | 904 7th Ave Fl 9, Seattle, WA 98104-1132 | 2017-12-21 |
| 1871020933 | Seattle Sports & Regenerative Medicine | Family Medicine | 1000 Dexter Ave N Ste 300, Seattle, WA 98109-3579 | 2017-05-18 |
| 1790210847 | Christina Choung | Family Medicine | 211 Pike St Fl 8, Seattle, WA 98101-2107 | 2017-04-26 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on CARENA MEDICAL PROVIDERS PS.
| 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.