DR. MATTHEW JARED FRADKIN (NPI# 1013282581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013282581 |
Entity Type | Individual |
Full Name | DR. MATTHEW JARED FRADKIN |
Credential | M.D |
Practice Address |
2211 Queen Anne Ave N Seattle WA 98109-2367 |
Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
Practice Telephone | 2068618500 |
Practice Fax Number | 2068618501 |
Mailing Telephone | 2063204476 |
Mailing Fax Number | 2065687043 |
Enumeration Date | 2012-03-16 |
Last Update Date | 2020-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | A135505 | CA | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | MD60663357 | WA | Allopathic & Osteopathic Physicians |
Street Address |
2211 QUEEN ANNE AVE N |
City | SEATTLE |
State | WA |
Zip Code | 98109-2367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780789594 | John Christopher Morrison | Internal Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109 | 2006-09-14 |
1780166280 | Frances M Paley | Registered Nurse | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2018-08-30 |
1720344245 | Chandra Campbell Maloney | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2012-04-10 |
1265697403 | Dynacare Northwest Inc | Clinical Medical Laboratory | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2008-07-28 |
1528122751 | Mark A Johnson | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2313 | 2006-12-21 |
1598836504 | Maria A. Wise | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2006-11-13 |
1548345283 | Benjamin Starnes | Pediatrics | 2211 Queen Anne Ave N, Swedish Physicians, Seattle, WA 98109-2313 | 2006-10-25 |
1740364462 | Clara Y. Chan | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
Find all providers in zip 98109 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
1083119499 | Caroline Vandiver Jackson | Pediatrics | 4800 Sand Point Way Ne, O.c. 7.830, Seattle, WA 98105 | 2018-03-27 |
1356874689 | Emily Lauren Yang | Pediatrics | 4800 Sand Point Way Ne # Oc.7.830, Seattle, WA 98105-3901 | 2017-04-04 |
1932630266 | Paul Michael Morales | Pediatrics | 4800 Sand Point Way Ne # Oc7.830, Seattle, WA 98105-3901 | 2017-03-27 |
1366993297 | Steven Fox | Pediatrics | 4600 Ne 54th St, Seattle, WA 98105-2935 | 2016-10-15 |
1740675669 | Jeremy Ho Mun Chan | Pediatrics | 4800 Sand Point Way Ne Oc.7.830, Seattle, WA 98105 | 2015-03-30 |
1497147094 | Telehospitalist Services | Pediatrics | 3113 Ne 65th St, Seattle, WA 98115-7228 | 2015-02-19 |
1497160014 | Brianna Katherine Brei | Pediatrics | 1959 Ne Pacific St Box 356320, Seattle, WA 98195-3276 | 2014-06-23 |
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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.