DR. GEORGE TIMOTHY BONDURANT (NPI# 1215049176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215049176 |
| Entity Type | Individual |
| Full Name | DR. GEORGE TIMOTHY BONDURANT |
| Credential | M.D. |
| Practice Address |
1660 S Columbian Way Veterans Affairs Puget Sound Health Care System Seattle WA 98108-1532 |
| Practice Telephone | 2062773426 |
| Mailing Telephone | 2062773426 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
38164 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1660 S COLUMBIAN WAY VETERANS AFFAIRS PUGET SOUND HEALTH CARE SYSTEM |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1285235309 | Peter B Min | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-11-04 |
| 1548860299 | Justin William Almeida | Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-30 |
| 1528667516 | Nicole Leacock | Registered Nurse | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-20 |
| 1114525664 | Melissa Anne Janke | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-15 |
| 1154928109 | Erin Schober | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-10-02 |
| 1144835562 | Nora Dinverno | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-09-11 |
| 1114539228 | Jessica Greenbaum | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-19 |
| 1982216420 | Clayton Daniel Kinney | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-17 |
| 1871103713 | Tara A Crouch | Psychologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962583609 | Craig Jaffe | Psychiatry & Neurology | 216 James St, Seattle, WA 98104-2212 | 2006-10-18 |
| 1063451805 | Daniel Eugene Wolf | Psychiatry & Neurology | 6537 35th Ave Sw, Seattle, WA 98126-3005 | 2006-06-06 |
| 1215179585 | Alexandra March Bright | Psychiatry & Neurology | 12360 Lake City Way Ne, Suite 200, Seattle, WA 98125-5447 | 2009-04-01 |
| 1831227065 | Richard K Ries | Psychiatry & Neurology | 325 9th Ave, Seattle, WA 98104-2420 | 2007-03-01 |
| 1861504573 | Joseph Paul Reoux | Psychiatry & Neurology | 1660 S Columbian Way, Vapshcs/116-atc, Seattle, WA 98108-1532 | 2006-08-31 |
| 1770692881 | Andrew John Saxon | Psychiatry & Neurology | 1660 S Columbian Way, S-116 Atc, Seattle, WA 98108-1532 | 2006-08-30 |
| 1356351761 | Kathleen Ang-lee | Psychiatry & Neurology | 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-6340 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003236761 | Daniel Magliozzi | Psychiatry & Neurology | Va American Lake 9600 Veterans Drive Southwest, Tacoma, WA 98493-6560 | 2014-04-22 |
| 1649461740 | Center for Assessment & Therapy Services Ps | Psychiatry & Neurology | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2007-08-05 |
| 1235765280 | Pacific Phoenix Group Pllc | Psychiatry & Neurology | 601 Main St Ste 505, Vancouver, WA 98660-3414 | 2020-03-20 |
| 1003346594 | Magnolia Psychiatry, LLC | Psychiatry & Neurology | 12729 Northup Way Ste 6, Bellevue, WA 98005-1935 | 2017-06-15 |
| 1780851261 | Fred Adams Montgomery | Psychiatry & Neurology | 215 S 11th Ave, D, Yakima, WA 98902-3255 | 2008-05-13 |
| 1609915685 | Howard Berryman Edwards | Psychiatry & Neurology | 14205 Se 36th St, 100, Bellevue, WA 98006-1596 | 2007-02-06 |
| 1518064955 | Rosa Frances Merino | Psychiatry & Neurology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2006-09-20 |
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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.