DR. MITRA EHSAN (NPI# 1053332098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053332098 |
| Entity Type | Individual |
| Full Name | DR. MITRA EHSAN |
| Credential | MD |
| Practice Address |
1231 116th Ave Ne Ste 535 Bellevue WA 98004-3804 |
| Practice Telephone | 4256881916 |
| Practice Fax Number | 4256881901 |
| Mailing Telephone | 4256881916 |
| Mailing Fax Number | 4256881901 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MD | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2078313 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14222 Ne 10th Pl, Bellevue, WA 98007 | 2066697639 |
| Street Address |
1231 116TH AVE NE STE 535 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609387414 | Haily Michelle Swinger | Nurse Practitioner | 1231 116th Ave Ne Ste 535, Bellevue, WA 98004-3804 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699918169 | Ian R White | Colon & Rectal Surgery | 1135-116th Avenue Ne, Suite 550, Bellevue, WA 98004 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619049616 | James C.s. Colquhoun | Colon & Rectal Surgery | 5515 S Custer Rd, Spokane, WA 99223-1628 | 2006-11-14 |
| 1740226570 | Joshua Eric Levin | Colon & Rectal Surgery | 3124 S 19th St Ste 220, Tacoma, WA 98405-2433 | 2006-06-21 |
| 1578528519 | Richard Parker Billingham | Colon & Rectal Surgery | 1101 Madison St Ste 500, Seattle, WA 98104-3557 | 2006-04-20 |
| 1972584936 | Phillip A Dean | Colon & Rectal Surgery | 4011 Talbot Rd S Ste 420, Renton, WA 98055-5791 | 2005-11-08 |
| 1235524703 | Crystal Pickeral Koerner | Colon & Rectal Surgery | 1101 Madison St Ste 500, Seattle, WA 98104-3557 | 2015-04-01 |
| 1598054355 | Ulrik Georg Wallin | Colon & Rectal Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-01 |
| 1073839965 | Laila Rashidi | Colon & Rectal Surgery | 3124 S 19th St Ste C220, Tacoma, WA 98405-2481 | 2010-04-16 |
| 1245566348 | Kitsap Colorectal Surgery Inc Ps | Colon & Rectal Surgery | 2528 Wheaton Way, Suite 103, Bremerton, WA 98310-3305 | 2009-10-23 |
| 1588828859 | Andrew Todd Schlussel | Colon & Rectal Surgery | 9040 Jackson Ave, Madigan Army Medical Center, Department of Surgery, Tacoma, WA 98433 | 2008-07-15 |
| 1598927642 | Jennifer Kim Lee | Colon & Rectal Surgery | 1101 Madison St, Suite 510, Seattle, WA 98104-1306 | 2008-06-30 |
| Find all providers with the same taxonomy | ||||
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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.