DR. ELISA K BODEN (NPI# 1932167400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932167400 |
| Entity Type | Individual |
| Full Name | DR. ELISA K BODEN |
| Credential | M.D. |
| Practice Address |
1100 9th Ave Buck Pavillion 3rd Floor Seattle WA 98101-2756 |
| Mailing Address |
1100 9th Ave Ms:m4-pfs Seattle WA 98101-2756 |
| Practice Telephone | 2062232319 |
| Mailing Telephone | 2065155811 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 226232 | MA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
60 256098 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD 60229173 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1932167400 | 05 | |
| WA | MONTANA DSHS | 1932167400 | 01 |
| WA | DEPT. OF LABOR AND INDUSTRIES | 0284291 | 01 |
| Street Address |
1100 9TH AVE BUCK PAVILLION 3RD FLOOR |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585002 | Carolyn A Searles | Nurse Practitioner | 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 | 2005-05-31 |
| 1134728967 | Xiaodi Feng | Physician Assistant | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-22 |
| 1841898574 | Allison Elizabeth Wong | Genetic Counselor, MS | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-14 |
| 1558978346 | Amy Frick | Dietitian, Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-09-25 |
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1033737317 | Rachel Kathleen Gibbons | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-07-13 |
| 1649896275 | Christian James West | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-19 |
| 1124643341 | Carter Gisriel | Nurse Anesthetist, Certified Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-12 |
| 1578186680 | Lisa Anne Leitzelar | Social Worker | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-05-22 |
| 1922628809 | Yekaterina Shchapina | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1548559552 | Stephen Michael Vindigni | Internal Medicine | 1959 Ne Pacific St, Room Bb-527, Seattle, WA 98195-6421 | 2011-03-30 |
| 1831498203 | Sophia Mansfield Swanson | Internal Medicine | 125 16th Ave, Seattle, WA 98122 | 2011-03-24 |
| 1003906959 | Anne M Larson | Internal Medicine | 1560 N 115th St Ste 207, Seattle, WA 98133-8414 | 2006-10-13 |
| 1497725238 | Steven Thomas Lewis | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-24 |
| 1003818709 | Andrew Dean Feld | Internal Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2005-08-11 |
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1689109126 | Adil Ghafoor | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2017-04-21 |
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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.