DR. ANDREW STEVEN JACK (NPI# 1992291793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992291793 |
| Entity Type | Individual |
| Full Name | DR. ANDREW STEVEN JACK |
| Credential | MD, MSC, FRCSC |
| Practice Address |
550 17th Ave Ste 500 Seattle WA 98122-5789 |
| Mailing Address |
1050 James St Unit 512 Seattle WA 98104-2787 |
| Practice Telephone | 2063203782 |
| Mailing Telephone | 4259612765 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 60814093 | WA | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | A160007 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265864797 | Andrew Scott Jack | Counselor | 7 Blanchard Cir Ste 201, Wheaton, IL 60189-2039 | 2013-08-07 |
| Street Address |
550 17TH AVE STE 500 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750319786 | Jill E Nelson | Physician Assistant | 550 17th Ave Ste 500, Seattle, WA 98122 | 2006-06-29 |
| 1699328278 | Bilal Izzat Qutteineh | Orthopaedic Surgery | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2019-07-22 |
| 1568949055 | Zane Alexander Tymchak | Neurological Surgery | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2018-07-26 |
| 1891114468 | David Impastato | Physical Medicine & Rehabilitation | 550 17th Ave Ste 500, Seattle, WA 98122 | 2014-04-10 |
| 1750464848 | William Henry Ludlam | Internal Medicine | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243820 | Kiana Uylukcu | Neurological Surgery | Medex Northwest, 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105-3007 | 2016-09-19 |
| 1659618510 | Antonio A Moure | Neurological Surgery | 1521 2nd Ave, Apartment 1400, Seattle, WA 98101-4500 | 2013-01-12 |
| 1699033894 | Calvin Curtis Whaley | Neurological Surgery | 550 17th Ave Ste 110, Seattle, WA 98122-5789 | 2012-04-25 |
| 1285822197 | Amir Kershenovich Rabinovitz | Neurological Surgery | 401 Broadway E # 2075, Seattle, WA 98102-5021 | 2007-10-05 |
| 1972710044 | Rod J Oskouian Jr. | Neurological Surgery | Seattle Neuroscience Specialists, 550 1th Ave 5th Floor, Seattle, WA 98122-5788 | 2007-05-17 |
| 1659594083 | William R. Miele | Neurological Surgery | 125 16th Ave E Fl 3, Seattle, WA 98112-5211 | 2007-04-11 |
| 1285756304 | Jean-christophe Andre Leveque | Neurological Surgery | 1100 Ninth Ave, Dept of Neurosugery X7-ns, Seattle, WA 98101 | 2007-04-06 |
| 1013074558 | Trent Lane Tredway | Neurological Surgery | 737 Olive Way Apt 2502, Seattle, WA 98101-3751 | 2007-01-03 |
| 1710046511 | Marc R Mayberg | Neurological Surgery | 1959 Ne Pacific St Box 356165, Seattle, WA 98195-5788 | 2006-12-07 |
| 1164581054 | David W Newell | Neurological Surgery | 550 17th Ave Ste 240, Seattle, WA 98122-5877 | 2006-12-06 |
| Find all providers in SEATTLE | ||||
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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.