STEPHEN BEZRUCHKA (NPI# 1992825640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992825640 |
| Entity Type | Individual |
| Full Name | STEPHEN BEZRUCHKA |
| Credential | M.D. |
| Practice Address |
200 15th Ave E Seattle WA 98112-5260 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2063263223 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00016265 | WA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00016265 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8287500 | 05 |
| Street Address |
200 15TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093874372 | Donna J Delegeane | Nurse Practitioner | 200 15th Ave E, Seattle, WA 98112-5260 | 2006-12-06 |
| 1063973840 | Annabel Hudson | Registered Nurse | 200 15th Ave E, Seattle, WA 98112-5260 | 2019-03-26 |
| 1598290744 | Tiana Wright | Registered Nurse | 200 15th Ave E, Cwb-1, Seattle, WA 98112-5260 | 2017-04-25 |
| 1477861219 | Desiree Yvonne Huitema | Physical Therapist | 200 15th Ave E, Seattle, WA 98112-5260 | 2010-09-14 |
| 1699977108 | Natalie White | Speech-Language Pathologist | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-06-05 |
| 1245432020 | Peter Huzyk | Radiology | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-06-04 |
| 1396953261 | Portia Reyes Maisano-torres | Physical Therapist | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-05-21 |
| 1104049535 | Errett T. Story | Obstetrics & Gynecology | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-04-11 |
| 1508986118 | R Linda Netzky-berkso | Registered Nurse | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-03-29 |
| 1205952678 | Marc A Houser | Family Medicine | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518372416 | John Raymond Avant Storey | Emergency Medicine | 3300 Meridian Ave N, Apt 204, Seattle, WA 98103-9150 | 2014-06-30 |
| 1346650017 | Anna Condino | Emergency Medicine | Emergency Services Northwest, 1550 N 115th Street, A150, Seattle, WA 98133 | 2014-05-05 |
| 1497184725 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 3050 Ne 127th St, Seattle, WA 98125-4415 | 2013-11-07 |
| 1578996211 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 610 1st Ave N, Seattle, WA 98109-4001 | 2013-08-16 |
| 1770926602 | Nicholas Granzella | Emergency Medicine | 201 16th Ave E # Chm, Seattle, WA 98112-5226 | 2013-04-10 |
| 1669815882 | Brandy Cluka | Emergency Medicine | 325 9th Ave # 359702, Seattle, WA 98104-2420 | 2013-04-08 |
| 1285991711 | Carolan Rachel Hass | Emergency Medicine | 4755 Fauntleroy Way Sw Unit 110, Seattle, WA 98116-4669 | 2012-04-22 |
| 1265798391 | Sean Tan Nguyen | Emergency Medicine | 325 Ninth Ave., Ms# 359702, Seattle, WA 98104-2420 | 2012-04-03 |
| 1952698243 | Travis Allen Omura | Emergency Medicine | 809a Nw 53rd St, Seattle, WA 98107-3644 | 2011-07-07 |
| 1629361761 | Blaise Bellows | Emergency Medicine | 3235 37th Pl S, Seattle, WA 98144-7017 | 2011-05-23 |
| 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.