DR. WAYNE FOX LARRABEE (NPI# 1154453389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154453389 |
| Entity Type | Individual |
| Full Name | DR. WAYNE FOX LARRABEE |
| Credential | M.D. |
| Practice Address |
600 Broadway Suite 280 Seattle WA 98122-5395 |
| Practice Telephone | 2063863550 |
| Practice Fax Number | 2063863553 |
| Mailing Telephone | 2063863550 |
| Mailing Fax Number | 2063863553 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
MD00017636 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
600 BROADWAY SUITE 280 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
| 1912546011 | Carina Renee Ziegler | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2020-01-06 |
| 1477194520 | Michael Gonzalez | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-30 |
| 1356999213 | Jennifer Mira Alsdorf | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-03 |
| 1780231316 | Allyson Bortoletto | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2019-08-19 |
| 1295202547 | Frauke Dorothea John | Student in an Organized Health Care Education/Training Program | 600 Broadway, Suite 170, Seattle, WA 98122 | 2018-10-25 |
| 1457863532 | Rebecca Locker Bean | Social Worker | 600 Broadway, Seattle, WA 98122-5229 | 2017-10-30 |
| 1235658527 | Jens Cinquemani | Social Worker | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 1053830349 | Keylee Bernardita Fernandez | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 1225557515 | Maria Mohamed Abdullahi | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 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 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326074881 | Stella Desyatnikova Md Pllc | Plastic Surgery | 509 Olive Way # 1430, Suite 1430, Seattle, WA 98101-1720 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124458583 | Cascade Facial Surgery and Aesthetics | Plastic Surgery | 111 S 12th St, Suite A, Mount Vernon, WA 98274-4000 | 2013-11-22 |
| 1366574501 | Jenifer Lee Henderson | Plastic Surgery | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2007-03-12 |
| 1841322567 | Cedar Medical Specialties, Pllc | Plastic Surgery | 2202 S Cedar St, Suite 300, Tacoma, WA 98405-2318 | 2007-03-09 |
| 1730164963 | David V Pratt | Plastic Surgery | 2202 S Cedar St, Suite 100, Tacoma, WA 98405-2318 | 2005-12-09 |
| 1487638086 | Troy James Woodman | Plastic Surgery | 2202 S Cedar St, Suite 100, Tacoma, WA 98405-2318 | 2005-12-06 |
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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.