DR. PAUL S. ANDERSON, PC (NPI# 1104173038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104173038 |
| Entity Type | Organization |
| Organization Name | DR. PAUL S. ANDERSON, PC |
| Other Organization Name | ANDERSON MEDICAL SPECIALTY ASSOCIATES |
| Practice Address |
2150 N 107th St Suite 400 Seattle WA 98133-1305 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 2066292186 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | DR. PAUL S. ANDERSON (OWNER) |
| Authorized Official Telephone | 2066292186 |
| Authorized Official Credential | ND |
| Is Organization Subpart | Y |
| Parent Organization Name | DR. PAUL S. ANDERSON, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Anderson Medical Specialty Associates | Doing Business As Name - Organization |
| Street Address |
2150 N 107TH ST SUITE 400 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761328 | Sarvesh Smiley Thakur | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2006-06-23 |
| 1568881944 | Heather Buckle | Naturopath | 2150 N 107th St, Ste 400, Seattle, WA 98133-1305 | 2014-04-14 |
| 1174949762 | Trilisa Madison | Naturopath | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2014-03-06 |
| 1548582281 | Erica Anne Shutes | Counselor | 2150 N 107th St, Suite 220, Seattle, WA 98133-1305 | 2010-02-23 |
| 1609102706 | Northstar Surgical Services, Pllc | Plastic Surgery | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2009-10-23 |
| 1831353200 | Pacific Footwear Company Inc | Durable Medical Equipment & Medical Supplies | 2150 N 107th St, Suite 204, Seattle, WA 98133-1305 | 2008-07-15 |
| 1891991956 | Transplant and Nephrology Northwest Pllc | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2007-06-25 |
| 1598983413 | Deborah L Hill | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-23 |
| 1265650972 | Child Psychology Northwest, P.s. | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-20 |
| 1740355692 | Recovery Options Northwest, Inc | Counselor | 2150 N 107th St, Suite 200, Seattle, WA 98133-1305 | 2006-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1841800752 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 517 Union St, Seattle, WA 98101-2308 | 2020-08-05 |
| 1184234072 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2038 Nw Market St, Seattle, WA 98107-4012 | 2020-08-05 |
| 1619587482 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4012 Sw Alaska St, Seattle, WA 98116-4529 | 2020-08-05 |
| 1083224919 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1909 Queen Anne Ave N, Seattle, WA 98109-2549 | 2020-08-05 |
| 1548870470 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1570 W Armory Way Ste 102, Seattle, WA 98119-2720 | 2020-08-05 |
| 1144830076 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 624 N 34th St # 104, Seattle, WA 98103-8604 | 2020-08-05 |
| 1467062232 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4540 University Way Ne, Seattle, WA 98105-4511 | 2020-08-05 |
| 1407466303 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2301 2nd Ave, Seattle, WA 98121-1709 | 2020-08-05 |
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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.