WILLIAM D LACK (NPI# 1922204635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922204635 |
| Entity Type | Individual |
| Full Name | WILLIAM D LACK |
| Credential | M.D. |
| Practice Address |
11011 Meridian Ave N Ste 201 Seattle WA 98133 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD60872422 | WA | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
MD60872422 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
11011 MERIDIAN AVE N STE 201 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780606657 | Andre Zand | Internal Medicine | 11011 Meridian Ave N Ste 201, Seattle, WA 98133-8967 | 2006-07-23 |
| 1265999056 | Jason Scott Erickson | Physician Assistant | 11011 Meridian Ave N Ste 201, Seattle, WA 98133 | 2019-02-27 |
| 1457844219 | Uw Medicine Northwest Physicians | Occupational Therapy Assistant | 11011 Meridian Ave N Ste 201, Seattle, WA 98133-8967 | 2018-06-07 |
| 1174905921 | Priyank Mahendra Patel | Psychiatry & Neurology | 11011 Meridian Ave N Ste 201, Seattle, WA 98133-8967 | 2015-06-28 |
| 1003229113 | Brooke Elizabeth Parker | Family Medicine | 11011 Meridian Ave N Ste 201, Seattle, WA 98133 | 2014-06-05 |
| 1457791683 | Vandana Jain | Internal Medicine | 11011 Meridian Ave N Ste 201, Seattle, WA 98133 | 2013-07-02 |
| 1053583153 | Karen Munger | Dietitian, Registered | 11011 Meridian Ave N Ste 201, Seattle, WA 98133-8967 | 2008-03-28 |
| 1598817736 | Maria De Los Angeles Gutierrez Rivas | Family Medicine | 11011 Meridian Ave N Ste 201, Seattle, WA 98133-8967 | 2007-01-17 |
| 1881703536 | Nicole M Woodruff | Nurse Practitioner | 11011 Meridian Ave N Ste 201, Seattle, WA 98133-8967 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790172880 | Krystin Hidden | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2015-04-16 |
| 1285049890 | D'ann Arthur | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2014-06-23 |
| 1083050843 | Jonah Hebert-davies | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2013-05-20 |
| 1063738532 | Michael F Githens | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104-2420 | 2010-04-08 |
| 1013059070 | Sean E Nork | Orthopaedic Surgery | 325 9th Ave, Seattle, WA 98104 | 2007-02-13 |
| 1790861599 | Daphne Michelle Beingessner | Orthopaedic Surgery | Harborview Medical Center, 325 9th Ave, Seattle, WA 98104 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407039555 | Valley Orthopedic Clinic, P.s. | Orthopaedic Surgery | 12525 E Mission Ave, Ste 107, Spokane Valley, WA 99216-1063 | 2007-12-12 |
| 1417124488 | Providence Physician Services Co | Orthopaedic Surgery | 820 S Mcclellan St, Ste 300b, Spokane, WA 99204-2246 | 2008-05-09 |
| 1003935388 | Tamara Shannan Simpson | Orthopaedic Surgery | 512 N Young St, Suite C, Kennewick, WA 99336-7806 | 2007-03-28 |
| 1538138268 | Eric Geoffrey Puttler | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374 | 2006-03-15 |
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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.