LIVIA T HEGEROVA


Address: Swedish First Hill Campus, 747 Broadway, Seattle, WA 98122
Phone: 2062153245

LIVIA T HEGEROVA (NPI# 1053605261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053605261
Entity Type Individual
Full Name LIVIA T HEGEROVA
Credential MD
Practice Address Swedish First Hill Campus
747 Broadway
Seattle
WA 98122
Mailing Address 1221 Madison St
Suite 1020
Seattle
WA 98104
Practice Telephone 2062153245
Mailing Telephone 8559226237
Enumeration Date 2011-06-06
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 55307 MN Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
60729673 WA Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
55307 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA ENROLLED 05
MN ENROLLED 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
420 Delaware Street Se, Mmc 480, Minneapolis, MN 55455 6126260400

Office Location

Street Address SWEDISH FIRST HILL CAMPUS
747 BROADWAY
City SEATTLE
State WA
Zip Code 98122

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1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1639646821 Maritza E Cajiao Doula 747 Broadway, Seattle, Seattle, WA 98122 2018-10-25
1336616762 Suzanna M Lovin Social Worker 401 Broadway, 1st Floor, Seattle, WA 98122 2018-10-24
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477150969 John Michael Pesando Internal Medicine 1066 East Blaine Street, Seattle, WA 98102-4260 2020-10-07
1265944003 Langdon Leforrest Miller Internal Medicine 3057 Perkins Ln W, Seattle, WA 98199-2418 2017-11-02
1306214168 Alvaro Perona Blazquez Internal Medicine 5049 38th Ave Ne, Seattle, WA 98105-3022 2015-09-10
1013318245 Vivien R V B Santos Internal Medicine 5049 38th Avenue Ne, Seattle, WA 98105 2014-09-08
1154663581 Victor Alexander Chow Internal Medicine 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 2013-03-24
1508150111 Robert Eugene Burdick Internal Medicine 2201 39th Ave E, Seattle, WA 98112-2401 2011-06-01
1124334792 Wayne Russell Godfrey Internal Medicine 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 2010-08-20
1407173826 Joshua Robert Veatch Internal Medicine 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 2010-04-24
1346562816 Song Zhao Internal Medicine 515 Minor Ave Fl 1, Seattle, WA 98104-2120 2010-02-24
1497925051 Stephen Douglas Smith Internal Medicine 825 Eastlake Ave E # G3-200, Seattle, WA 98109-4405 2008-03-10
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Competitor

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City SEATTLE
Zip Code 98122

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Dataset Information

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.

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