Kaj H Johansen (NPI# 1366491045, PAC ID# 2668463225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1366491045 |
| PAC ID by PECOS | 2668463225 |
| Professional Enrollment ID | I20060530000118 |
| Full Name | Kaj H Johansen |
| Organization Legal Name | MAI PHAM MD PS |
| Address |
1229 Madison St Suite 1190 Seattle WA 98104-1357 |
| Phone Number | 2063222000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 2163663352 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500027 | SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD |
| 500072 | OLYMPIC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1229 Madison St, Suite 1190, Seattle, WA 98104-1357 | 2063222000 | MAI PHAM MD PS |
| Organization Legal Name | MAI PHAM MD PS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajitha Mathew | Nurse Practitioner | Mai Pham Md Ps | 1229 Madison St, Suite 1190, Seattle, WA 98104-1357 |
| Sepideh Makouei | Physician Assistant | Mai Pham Md Ps | 1229 Madison St, Suite 1190, Seattle, WA 98104-1357 |
| Mai T Pham | General Practice | Mai Pham Md Ps | 1229 Madison St, Suite 1190, Seattle, WA 98104-1357 |
| Street Address |
1229 MADISON ST SUITE 1190 |
| City | SEATTLE |
| State | WA |
| Zip | 98104-1357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greg E Paul | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Steven D Crooks | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Jonathan S Maron | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Andrew H Chung | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Thomas Nguyen | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| William S Mondzac | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Denise Y Lim | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Sang P Yi | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Rachel A Parine | Physician Assistant | Skin Surgery Center, P.s. | 1229 Madison St, Suite 1480, Seattle, WA 98104-3538 |
| David C Liu | Anesthesiology | Physicians Anesthesia Service Pllc | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Delucchi | Chiropractic | 88 Spring St, Suite 123, Seattle, WA 98104-1099 | |
| Daniel G Schwartz | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Emily Katherine Pellegrini | Nurse Practitioner | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Christopher P Cannon | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Vanessa Herring | Family Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Antonius G Mulia | Internal Medicine | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Xiangping Ren | Interventional Pain Management | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Saima Kamran | Rheumatology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Laura J Lake | Nurse Practitioner | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Benduan D Yang | Neurology | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Find all physicians in zip 98104 | |||
| City | SEATTLE |
| Zip Code | 98104 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | SEATTLE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Kaj H Johansen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.