DR. BRETT RUSSELL STACEY (NPI# 1003844226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003844226 |
| Entity Type | Individual |
| Full Name | DR. BRETT RUSSELL STACEY |
| Credential | M.D. |
| Practice Address |
4225 Roosevelt Way Ne Fl 4 Seattle WA 98105-6099 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065984282 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD60503012 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1003844226 | 05 |
| Street Address |
4225 ROOSEVELT WAY NE FL 4 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306818513 | Miroslav Backonja | Psychiatry & Neurology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-02-02 |
| 1376173328 | Song Youn Park | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2020-01-17 |
| 1477907822 | Melissa Osborn | Physical Medicine & Rehabilitation | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2016-04-21 |
| 1619394780 | Ata S Moshiri | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2014-03-26 |
| 1215047527 | Catherine Q Howe | Psychiatry & Neurology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-08-30 |
| 1194764837 | Kendra Gail Bergstrom | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1811978976 | Christopher David Merifield | Anesthesiology | 600 Broadway Ste 530, Seattle, WA 98122 | 2005-11-07 |
| 1124524418 | Krishna Bharat Merai | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-04 |
| 1174919716 | Boyoun Jung | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-4870 | 2015-04-10 |
| 1033478300 | Preetma Kaur Kooner | Anesthesiology | University of Washington, 1959 Ne Pacific Street St, Seattle, WA 98195-0001 | 2012-05-08 |
| 1770720096 | Michael Gofeld | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2009-01-08 |
| 1649445172 | Alex Cahana | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-04-25 |
| 1457437253 | Mario De Pinto | Anesthesiology | Harborview Medical Center, 325 9th Ave, Seattle, WA 98104 | 2006-10-27 |
| 1609957950 | Corrie Anderson | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1790870780 | Isuta Nishio | Anesthesiology | 1660 S Columbian Way, S-112-anes, Seattle, WA 98108-1532 | 2006-10-04 |
| 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.