ATOOSA KOUROSH (NPI# 1053401661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053401661 |
| Entity Type | Individual |
| Full Name | ATOOSA KOUROSH |
| Credential | MD |
| Practice Address |
4426 Burke Ave N Seattle WA 98103-7536 |
| Practice Telephone | 2069190175 |
| Practice Fax Number | 2065679797 |
| Mailing Telephone | 2069190175 |
| Mailing Fax Number | 2065679797 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | MD00044424 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD00044424 | WA | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
MD00044424 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RR MEDICARE WVH | P01733874 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 840 E Hill Ave, Moses Lake, WA 988372238 | 5096638711 |
| Street Address |
4426 BURKE AVE N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316369549 | Emily Paul | Acupuncturist | 4426 Burke Ave N, Seattle, WA 98103-7536 | 2014-01-07 |
| 1053686014 | Sara Margaret Daum | Massage Therapist | 4426 Burke Ave N, Seattle, WA 98103-7536 | 2012-03-09 |
| 1770762064 | Tolle Brook Murphy | Naturopath | 4426 Burke Ave N, Seattle, WA 98103-7536 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386720068 | Hans D Ochs | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-27 |
| 1720164403 | David J Rawlings | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-27 |
| 1891764353 | Maria Teresa De La Morena | Pediatrics | 4800 Sand Point Way Ne, M/s: Hb.b.501, Seattle, WA 98105 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409741 | Multicare Health System | Pediatrics | 505 S 336th St # 210, Federal Way, WA 98003-5947 | 2019-07-16 |
| 1427601467 | Multicare Health System | Pediatrics | 316 Martin L King Jr Way Ste 212, Tacoma, WA 98405-4254 | 2019-07-18 |
| 1619061389 | Michael M. Mccarthy | Pediatrics | 105 W 8th Ave, Suite 660e, Spokane, WA 99204-2302 | 2006-10-03 |
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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.