DR. MARIE BLEAKLEY (NPI# 1073695227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073695227 |
| Entity Type | Individual |
| Full Name | DR. MARIE BLEAKLEY |
| Credential | MD |
| Practice Address |
4800 Sand Point Way Ne Seattle WA 98105-3901 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2062881000 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD00041330 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD00041330 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1073695227 | 05 | |
| WA | L&I | 0230825 | 01 |
| Street Address |
4800 SAND POINT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
| 1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
| 1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
| 1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
| 1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
| 1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286369 | Candice Mccoy | Internal Medicine | 400 Dexter Ave N Ste 1200, Seattle, WA 98109-5094 | 2019-07-10 |
| 1295000552 | Jesse Johnston Salk | Internal Medicine | 1660 S Columbian Way # S-111onc, Seattle, WA 98108-1532 | 2012-03-19 |
| 1962777862 | Charles M Bagley Jr. | Internal Medicine | 1235 8th Ave W, Seattle, WA 98119-3441 | 2012-03-12 |
| 1548556384 | Janghee Woo | Internal Medicine | 825 Eastlake Ave. East, Seattle, WA 98109 | 2011-06-20 |
| 1174849855 | B Chue Consulting, P.s. | Internal Medicine | 2825 Eastlake Ave E Ste 200, Seattle, WA 98102-3085 | 2010-04-20 |
| 1740449602 | Kinsey A Mccormick | Internal Medicine | 1221 Madison St Ste 500, Seattle, WA 98104-1388 | 2008-06-05 |
| 1356562250 | Martin Alexander Cheever | Internal Medicine | 825 Eastlake Ave E # G4-610, Seattle, WA 98109-4405 | 2007-05-01 |
| 1992880991 | Thomas David Brown | Internal Medicine | 1221 Madison St Fl 2, Seattle, WA 98104-3588 | 2006-10-26 |
| 1386637288 | Stephen J Lemon | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2005-08-25 |
| 1942620448 | Kaylyn Kit Man Wong | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2014-04-23 |
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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.