Juwono Lindawati Sutedjo (NPI# 1114072980, PAC ID# 9638319015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1114072980 |
| PAC ID by PECOS | 9638319015 |
| Professional Enrollment ID | I20180123002704 |
| Full Name | Juwono Lindawati Sutedjo |
| Organization Legal Name | PACMED CLINICS |
| Address |
1101 Madison St Suite 301 Seattle WA 98104-3599 |
| Phone Number | 2065051000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2466350657 |
| Number of Group Practice Members | 167 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500025 | SWEDISH MEDICAL CENTER / CHERRY HILL |
| 500027 | SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD |
| Address | Phone | Organization |
|---|---|---|
| 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2065176700 | PACMED CLINICS |
| 1101 Madison St, Suite 301, Seattle, WA 98104-3599 | 2065051000 | PACMED CLINICS |
| Organization Legal Name | PACMED CLINICS |
| Physicians | 190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet Beth Roller | Clinical Social Worker | Pacmed Clinics | 4800 College St Sw, Lacey, WA 98503-4389 |
| Shalini Nair | Internal Medicine | Pacmed Clinics | 220 15th Ave Se, Pacmed Clinics Puyallup, Puyallup, WA 98372-3797 |
| Kimberly A Miles | Clinical Social Worker | Pacmed Clinics | 31833 B Gateway Ctr Blvd S, Pacmed Clinics Federal Way, Federal Way, WA 98003-0000 |
| Tavis J Taylor | Internal Medicine | Pacmed Clinics | 10416 5th Ave Ne, Seattle, WA 98125-7402 |
| Lori L Kirsten | Physical Therapy | Pacmed Clinics | 19401 40th Ave W, Lynnwood, WA 98036-4612 |
| Arkadiy Tkachev | Family Medicine | Pacmed Clinics | 601 S Carr Rd, Suite 100, Renton, WA 98055-5802 |
| Mary A Wemple | Rheumatology | Pacmed Clinics | 1200 12th Ave S, Seattle, WA 98144-2712 |
| Nona Niculescu | Internal Medicine | Pacmed Clinics | 19401 40th Ave W, Lynnwood, WA 98036-4612 |
| James A Lund | Internal Medicine | Pacmed Clinics | 19401 40th Ave W, Lynnwood, WA 98036-4612 |
| Michael Young Han | Urology | Pacmed Clinics | 1909 214th St Se, Bothell, WA 98021-4412 |
| Street Address |
1101 MADISON ST SUITE 301 |
| City | SEATTLE |
| State | WA |
| Zip | 98104-3599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Bohmke | Obstetrics/gynecology | Proliance Surgeons, Inc., P.s. | 1101 Madison St, Suite 1150, Seattle, WA 98104-3558 |
| Theodore M Zollman | Ophthalmology | Eye Associates Northwest, PC | 1101 Madison St, Suite 600, Seattle, WA 98104-3501 |
| David H Barr | Ophthalmology | Eye Associates Northwest, PC | 1101 Madison St, Suite 600, Seattle, WA 98104-3501 |
| Ashley E Fedan | Certified Registered Nurse Anesthetist (crna) | 1101 Madison St, Suite 600, Seattle, WA 98104-3501 | |
| Joelle E. Thomas | Obstetrics/gynecology | Proliance Surgeons, Inc., P.s. | 1101 Madison St, Suite 950, Seattle, WA 98104-3592 |
| Katie K Mcguire | Obstetrics/gynecology | Swedish Health Services | 1101 Madison St, Suite 700, Seattle, WA 98104-3599 |
| Brooke Allison Winner | Gynecological Oncology | Swedish Health Services | 1101 Madison St, Suite 1500, Seattle, WA 98104-3551 |
| Mark D Lowdermilk | Obstetrics/gynecology | Swedish Health Services | 1101 Madison St, Suite 700, Seattle, WA 98104-3599 |
| Thomas B Knowles | General Surgery | Swedish Health Services | 1101 Madison St, Suite 900, Seattle, WA 98104-1347 |
| Brant F Carroll | Ophthalmology | Eye Associates Northwest, PC | 1101 Madison St, Suite 600, Seattle, WA 98104-3501 |
| 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 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SEATTLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Juwono Lindawati Sutedjo.
| 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.