Jean R Dydell (NPI# 1043390982, PAC ID# 5092758730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1043390982 |
| PAC ID by PECOS | 5092758730 |
| Professional Enrollment ID | I20050603000772 |
| Full Name | Jean R Dydell |
| Organization Legal Name | EASTSIDE OB/GYN PLLC |
| Address |
12303 Ne 130th Ln Suite 450 Kirkland WA 98034-3032 |
| Phone Number | 4258995000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1850437302 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3032 | 4258995000 | EASTSIDE OB/GYN PLLC |
| Organization Legal Name | EASTSIDE OB/GYN PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary W Tsuang | Obstetrics/gynecology | Eastside Ob/gyn Pllc | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3032 |
| Street Address |
12303 NE 130TH LN SUITE 450 |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-3032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xuemei Su | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Amy Lynn Bartnikowski | Certified Nurse Midwife (cnm) | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Mary C Price | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 120, Kirkland, WA 98034-3041 |
| John M Brockenbrough | Otolaryngology | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 400, Kirkland, WA 98034-3041 |
| Sarah R Dumke | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Stephen G Hyde | Obstetrics/gynecology | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Henry Su | Internal Medicine | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Kirkland, WA 98034-3041 |
| Aileen A Mickey | Pulmonary Disease | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Kirkland, WA 98034-3041 |
| Mary W Tsuang | Obstetrics/gynecology | Eastside Ob/gyn Pllc | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3032 |
| Pilar Baquero | Obstetrics/gynecology | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Edward Lubereski | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Ryan Sean Coogan | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Richard A Wyckoff | Clinical Psychologist | 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011 | |
| Olena Sergiyivna Fox | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Sid H Siahpush | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Zhendong J Ma | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Amy O Zachara | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Olga G Abramova | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Syed Kamal Mustafa | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Garth Edward Terry | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Find all physicians in zip 98034 | |||
| City | KIRKLAND |
| Zip Code | 98034 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | KIRKLAND + OBSTETRICS/GYNECOLOGY |
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| 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.