BRENT D. KOOY (NPI# 1033261458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033261458 |
| Entity Type | Individual |
| Full Name | BRENT D. KOOY |
| Credential | P.A. |
| Practice Address |
2700 152nd Ave Ne Redmond WA 98052-5543 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 4258835151 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004744 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004744 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8418030 | 05 |
| Street Address |
2700 152ND AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235109885 | Ronald Jason Matthews | Physical Therapist | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2006-01-25 |
| 1659540912 | Rebecca Leigh Parrish | Social Worker | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2008-02-20 |
| 1942485222 | Heather Pearl Klug | Pharmacist | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2008-01-04 |
| 1154505444 | Sarah Lenore Rudnick | Pediatrics | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-12-21 |
| 1740461458 | Diane Michelle Baskin-thompson | Nurse Practitioner | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-11-21 |
| 1376732982 | Group Health Cooperative | Substance Abuse Rehabilitation Facility | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-10-19 |
| 1952591075 | Beth Kristenson | Nurse Anesthetist, Certified Registered | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-07-25 |
| 1033318126 | Karen Purcell | Nurse Anesthetist, Certified Registered | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-07-17 |
| 1457557019 | Robert D. Highley | Internal Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-06-21 |
| 1649487836 | Connie A Innis | Radiology | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427100841 | Marcia G. Kramer | Physician Assistant | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2007-01-17 |
| 1306808142 | Suzanne E Browning-tarbet | Physician Assistant | 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | 2006-04-05 |
| 1932591963 | Bryce Campbell | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-02-27 |
| 1225432826 | Evan Joseph Ludmer | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97757 | 2014-10-10 |
| 1528462272 | Kathleen Pyatek | Physician Assistant | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2014-10-09 |
| 1942541164 | Angela Tye | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2013-03-13 |
| 1720369648 | Ryan Narciso | Physician Assistant | 18100 Ne Union Hill Rd Ste 200, Redmond, WA 98052-3330 | 2011-09-06 |
| 1073633772 | Cristina Zappoli Ryser | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-03-29 |
| 1528111614 | Jon G Lowe | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-01-19 |
| 1194877431 | Cynthia J. Kusiak | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-17 |
| Find all providers in REDMOND | ||||
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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.