MIRACLE ISLAND PLLC (NPI# 1114431079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114431079 |
| Entity Type | Organization |
| Organization Name | MIRACLE ISLAND PLLC |
| Other Organization Name | TAIJI ACUPUNCTURE WELLNESS CENTER |
| Practice Address |
7605 Se 27th St Ste 103 Mercer Island WA 98040-2852 |
| Practice Telephone | 2065199039 |
| Mailing Telephone | 2065199039 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2020-10-11 |
| Authorized Official Name | HAIMING SHI (CEO) |
| Authorized Official Telephone | 2065199039 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MA60654589 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 171100000X | Acupuncturist | AC60696857 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Taiji acupuncture wellness center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MIRACLE ISLAND PLLC | 7605 Se 27th St, Ste 103, Mercer Island, WA 98040-2852 |
| Street Address |
7605 SE 27TH ST STE 103 |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369896 | Warburton Health Services Pllc | Chiropractor | 7605 Se 27th St Ste 103, Mercer Island, WA 98040-2852 | 2006-03-08 |
| 1992153795 | Haiming Shi | Acupuncturist | 7605 Se 27th St Ste 103, Mercer Island, WA 98040-2852 | 2016-06-02 |
| 1487854915 | William Oliver Warburton | Chiropractor | 7605 Se 27th St Ste 103, Mercer Island, WA 98040-2852 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1124575709 | Ning Wang | Acupuncturist | 9001 Se 47th St, Mercer Island, WA 98040-4452 | 2016-09-01 |
| 1881042901 | Carley Squires | Acupuncturist | 9013 Se 50th St, Mercer Island, WA 98040-4744 | 2016-05-31 |
| 1639568660 | Sushmitha Chander | Acupuncturist | 2439 61st Ave Se, Mercer Island, WA 98040-2420 | 2015-01-14 |
| 1174862841 | Sean Patrick Seery | Acupuncturist | 7834 Se 32nd St, Ste 104, Mercer Island, WA 98040-2972 | 2013-01-31 |
| 1528332376 | Lisa Porad | Acupuncturist | 2445 74th Ave Se, Mercer Island, WA 98040-2632 | 2012-02-25 |
| 1952528614 | Carolyn Welch | Acupuncturist | 7785 Sunset Hwy, Mercer Island, WA 98040-4061 | 2007-04-20 |
| 1164973368 | Tiffany Cruikshank | Acupuncturist | 7803 Se 27th St Ste 174, Mercer Island, WA 98040-2139 | 2016-10-22 |
| 1992153795 | Haiming Shi | Acupuncturist | 7605 Se 27th St Ste 103, Mercer Island, WA 98040-2852 | 2016-06-02 |
| 1083086664 | Melony O'neill Cable | Acupuncturist | 7834 Se 32nd St, Suite 203, Mercer Island, WA 98040-2972 | 2015-10-22 |
| Find all providers in MERCER ISLAND | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
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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.