DR. DEIRDRE KNOBELOCH


Address: 1560 N 115th St Ste 101, Seattle, WA 98133
Phone: 2066686806

DR. DEIRDRE KNOBELOCH (NPI# 1982947149) 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) 1982947149
Entity Type Individual
Full Name DR. DEIRDRE KNOBELOCH
Credential D.O.
Practice Address 1560 N 115th St Ste 101
Seattle
WA 98133
Mailing Address 9447 Holy Cross Ln
Breese
IL 62230-3510
Practice Telephone 2066686806
Practice Fax Number 2066686808
Mailing Telephone 2066686806
Mailing Fax Number 2066686808
Enumeration Date 2013-04-05
Last Update Date 2019-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
OP60824606 WA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
10143 Perrin Rd, Mascoutah, IL 622583411 6189723045

Office Location

Street Address 1560 N 115TH ST STE 101
City SEATTLE
State WA
Zip Code 98133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760692198 Elise Jensen Simons Obstetrics & Gynecology 1560 N 115th St Ste 101, Seattle, WA 98133-8414 2007-05-23

Providers in the same zip code

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 Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619992724 Amy Elizabeth Bondurant Obstetrics & Gynecology 1101 Madison St Ste 1500, Seattle, WA 98104-3551 2006-07-12
1508028788 Kemi Morenikeji Doll Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-0001 2008-06-27
1093999740 Renata Rose Urban Obstetrics & Gynecology 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-12-18
1871773226 Gynecology Cancer Clinic Tr Obstetrics & Gynecology 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 2007-11-13
1730389057 John B Liao Obstetrics & Gynecology 825 Eastlake Ave E, Seattle, WA 98109-4405 2007-07-24
1205916103 Hisham K Tamimi Obstetrics & Gynecology Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 2006-10-16
1366538084 Howard G Muntz Obstetrics & Gynecology 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 2006-10-04
1417042854 Kathryn F Mcgonigle Obstetrics & Gynecology 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 2006-10-03
1235248360 Chirag A Shah Obstetrics & Gynecology 1101 Madison St, Ste 1500, Seattle, WA 98104-1306 2006-08-30
1104932276 Nancy Margaret Tipton Obstetrics & Gynecology 1100 9th Ave, Seattle, WA 98101-2756 2006-08-22
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Competitor

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City SEATTLE
Zip Code 98133

Improve Information

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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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