KENNETH A SCHENKMAN


Address: 4800 Sand Point Way Ne, Seattle, WA 98105-3901
Phone: 2069872170

KENNETH A SCHENKMAN (NPI# 1972672491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972672491
Entity Type Individual
Full Name KENNETH A SCHENKMAN
Credential MD
Practice Address 4800 Sand Point Way Ne
Seattle
WA 98105-3901
Mailing Address Po Box 50010
Seattle
WA 98105-1010
Practice Telephone 2069872170
Practice Fax Number 2069873935
Mailing Telephone 2069878450
Mailing Fax Number 2069878484
Enumeration Date 2006-11-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD00027412 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8122855 05

Office Location

Street Address 4800 SAND POINT WAY NE
City SEATTLE
State WA
Zip Code 98105-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891791448 Eric M Harvey Pharmacist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2005-06-27
1326649930 Amy Ardaya Physician Assistant 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-11-02
1235739129 Christopher Baker Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-29
1134728777 Cara Elizabeth Hilderbrand Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-24
1376142810 Alexandra Michelle Barrie Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-24
1285233270 Joshua James Degrave Pharmacist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-20
1811595705 Raven Khiara Hayes Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-13
1972101004 Rachel Elizabeth Gulden Physician Assistant 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-12
1821695446 Kelsey Alexandra Macdonald Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-06
1275149676 Lauryn Manning Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-09-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326662396 Dale Justin Podolsky Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 2020-06-04
1376170878 Andrew Crompton Yazman Pediatrics 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 2020-03-25
1427688845 Daniela Michell Zepeda Behavioral Analyst 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 2020-01-24
1255981189 Emily King Student in an Organized Health Care Education/Training Program Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 2019-09-12
1821659327 Sara Katherine Horne Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 2019-06-25
1881252575 Darryl Lee Wright Peer Specialist Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 2019-05-29
1487117891 Nirupama Madhavan Behavioral Analyst 5001 25th Ave Ne, Seattle, WA 98105 2019-04-11
1780155648 Eryn R Mcentee Naturopath 2216 Ne46th St, Seattle, WA 98105 2018-12-17
1356811921 Kyle Leland Bernbach Massage Therapist 5224 Ravenna Ave Ne, Seattle, WA 98105 2018-11-27
1548742380 Janal Kim Physician Assistant 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 2018-08-29
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306378278 Pliceliany Perez Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2017-03-30
1710276761 Emily Berkman Pediatrics 4800 Sand Point Way Ne, A-5950, Seattle, WA 98105 2011-03-30
1003077025 Leslie Ann Dervan Pediatrics 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105-3901 2008-06-23
1861651929 Silvia Hartmann Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2008-06-04
1538338975 Amelie Olga-marie Von Saint Andre - Von Arnim Pediatrics 4800 Sand Point Way Ne, M/s W-8866, Seattle, WA 98105-3901 2008-02-28
1508921024 Ofer Yanay Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-12-26
1275607913 Thomas V. Brogan Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-11-17
1841376522 Harris P Baden Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-27
1730265414 David S Jardine Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-27
1811073596 Jerry J Zimmerman Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-27
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Competitor

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City SEATTLE
Zip Code 98105

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Dataset Information

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.

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