Peggy D Headstrom (NPI# 1962518944, PAC ID# 4880699545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1962518944 |
| PAC ID by PECOS | 4880699545 |
| Professional Enrollment ID | I20061002000454 |
| Full Name | Peggy D Headstrom |
| Organization Legal Name | THE POLYCLINIC |
| Address |
1145 Broadway Seattle WA 98122-4201 |
| Phone Number | 2063291760 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 2163328196 |
| Number of Group Practice Members | 366 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500027 | SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD |
| Address | Phone | Organization |
|---|---|---|
| 1145 Broadway, Seattle, WA 98122-4201 | 2063291760 | THE POLYCLINIC |
| Organization Legal Name | THE POLYCLINIC |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Takako Shiratori | Physical Therapy | The Polyclinic | 509 Olive Way, 900 The Polyclinic Downtown, Seattle, WA 98101-1724 |
| Carol J. Nicholson | Occupational Therapy | The Polyclinic | 10700 Meridian Ave N, 105 The Polyclinic Physical Therapy Northgate Annex, Seattle, WA 98133-8008 |
| Daniel G Schwartz | Orthopedic Surgery | The Polyclinic | 904 7th Ave, The Polyclinic Madison Center, Seattle, WA 98104-1132 |
| Betsy E Brown | Family Medicine | The Polyclinic | 8118 Green Lake Dr N, The Polyclinic Family Medicine Greenlake, Seattle, WA 98103-4412 |
| Sarah P Rougier | Internal Medicine | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Rita A Kostelik | Nurse Practitioner | The Polyclinic | 9709 3rd Ave Ne, Fl 2, Seattle, WA 98115-2077 |
| Scott T Mcintyre | Family Medicine | The Polyclinic | 3216 Ne 45th Pl, 200 The Polyclinic Family Medicine Sand Point, Seattle, WA 98105-4028 |
| 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 |
| Street Address |
1145 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip | 98122-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah P Rougier | Internal Medicine | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Sarah Elizabeth Carter | Certified Registered Nurse Anesthetist (crna) | Advanced Anesthesia Services Pllc | 1145 Broadway, Seattle, WA 98122-4201 |
| James Papathanasiou | Internal Medicine | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Lisa T Biltz | Certified Registered Nurse Anesthetist (crna) | Advanced Anesthesia Services Pllc | 1145 Broadway, Seattle, WA 98122-4201 |
| Juan C De La Ossa | General Surgery | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Mark W Smith | Internal Medicine | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Craig J Pepin | Gastroenterology | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Jeffrey Bruce Kennedy | Ophthalmology | The Polyclinic | 1145 Broadway, 2m, Seattle, WA 98122-4201 |
| Margaret E Duffy | Physician Assistant | The Polyclinic | 1145 Broadway, Seattle, WA 98122-4201 |
| Yujean Han | Sleep Medicine | The Polyclinic | 1145 Broadway, 2l, Seattle, WA 98122-4201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul F Williams | Orthopedic Surgery | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| Cynthia K Pikula | Physician Assistant | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| Richard A. Candelaria | Physician Assistant | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| John W Robertson | General Practice | Proliance Surgeons Inc Ps | 601 Bdwy, Seattle, WA 98122 |
| Jeffrey Fred Olliffe | Family Medicine | 1817 12th Ave, Seattle, WA 98122-2437 | |
| Jutta Angelika Schneider | Physical Therapy | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 | |
| Nikia Marykatherine Fenlin Antioquia | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Alana Josephine Rogers | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Karen L Greeley | Physical Therapy | 1820 12th Ave, Seattle, WA 98122-2438 | |
| Robin C Angus | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Find all physicians in zip 98122 | |||
| City | SEATTLE |
| Zip Code | 98122 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SEATTLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Peggy D Headstrom.
| 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.