CHARLES E NUSSBAUM (NPI# 1144233966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144233966 |
| Entity Type | Individual |
| Full Name | CHARLES E NUSSBAUM |
| Credential | MD |
| Practice Address |
1100 9th Ave Seattle WA 98101-2756 |
| Mailing Address |
1100 9th Ave Ms:m4-pa Seattle WA 98101-2756 |
| Practice Telephone | 2062236600 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD00027304 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD00027304 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 140006459 | 01 | |
| WA | ALASKA MEDICAID | MD8523W | 01 |
| WA | LABOR & INDUSTRY | 0039591 | 01 |
| WA | 8118077 | 05 | |
| WA | BLUE SHIELD | NU4423 | 01 |
| WA | AETNA/USHC SPECIALIST | US0861499 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Goethals Dr, Richland, WA 993523300 | 5099423080 | 5099423085 |
| Street Address |
1100 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585002 | Carolyn A Searles | Nurse Practitioner | 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 | 2005-05-31 |
| 1134728967 | Xiaodi Feng | Physician Assistant | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-22 |
| 1841898574 | Allison Elizabeth Wong | Genetic Counselor, MS | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-14 |
| 1558978346 | Amy Frick | Dietitian, Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-09-25 |
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1033737317 | Rachel Kathleen Gibbons | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-07-13 |
| 1649896275 | Christian James West | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-19 |
| 1124643341 | Carter Gisriel | Nurse Anesthetist, Certified Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-12 |
| 1578186680 | Lisa Anne Leitzelar | Social Worker | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-05-22 |
| 1922628809 | Yekaterina Shchapina | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243820 | Kiana Uylukcu | Neurological Surgery | Medex Northwest, 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105-3007 | 2016-09-19 |
| 1659618510 | Antonio A Moure | Neurological Surgery | 1521 2nd Ave, Apartment 1400, Seattle, WA 98101-4500 | 2013-01-12 |
| 1699033894 | Calvin Curtis Whaley | Neurological Surgery | 550 17th Ave Ste 110, Seattle, WA 98122-5789 | 2012-04-25 |
| 1285822197 | Amir Kershenovich Rabinovitz | Neurological Surgery | 401 Broadway E # 2075, Seattle, WA 98102-5021 | 2007-10-05 |
| 1972710044 | Rod J Oskouian Jr. | Neurological Surgery | Seattle Neuroscience Specialists, 550 1th Ave 5th Floor, Seattle, WA 98122-5788 | 2007-05-17 |
| 1659594083 | William R. Miele | Neurological Surgery | 125 16th Ave E Fl 3, Seattle, WA 98112-5211 | 2007-04-11 |
| 1285756304 | Jean-christophe Andre Leveque | Neurological Surgery | 1100 Ninth Ave, Dept of Neurosugery X7-ns, Seattle, WA 98101 | 2007-04-06 |
| 1013074558 | Trent Lane Tredway | Neurological Surgery | 737 Olive Way Apt 2502, Seattle, WA 98101-3751 | 2007-01-03 |
| 1710046511 | Marc R Mayberg | Neurological Surgery | 1959 Ne Pacific St Box 356165, Seattle, WA 98195-5788 | 2006-12-07 |
| 1164581054 | David W Newell | Neurological Surgery | 550 17th Ave Ste 240, Seattle, WA 98122-5877 | 2006-12-06 |
| Find all providers in SEATTLE | ||||
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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.