SUZINNE PAK GORSTEIN (NPI# 1215922638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215922638 |
Entity Type | Individual |
Full Name | SUZINNE PAK GORSTEIN |
Credential | MD PHD MPH |
Practice Address |
325 9th Ave Box 359774 Seattle WA 98104-2420 |
Mailing Address |
6016 1st Ave Nw Seattle WA 98107-2007 |
Practice Telephone | 2067449512 |
Practice Fax Number | 2067449862 |
Mailing Telephone | 2066792460 |
Enumeration Date | 2005-09-12 |
Last Update Date | 2007-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD00045046 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8435224 | 05 |
Street Address |
325 9TH AVE BOX 359774 |
City | SEATTLE |
State | WA |
Zip Code | 98104-2420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851395743 | Judith Kay Glann | Nurse Practitioner | 325 9th Ave, Seattle, WA 98104-2420 | 2005-06-08 |
1720688427 | Angelo John Jamora | Advanced Practice Midwife | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-30 |
1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
1184222739 | Kristi Griffing | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-10-15 |
1558968925 | Maeve Muldowney | Anesthesiology | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-07 |
1073128203 | Allison Engstrom | Social Worker | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-14 |
1376158501 | Vallie Jacobson | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-14 |
1801401187 | Leigh Anne Kalaman | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-13 |
1114532496 | Shayna Erickson | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-13 |
1144834698 | Tonya L Webb | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
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Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568675544 | Robert Michael Lehman | Pediatrics | 1545 Nw 57th St, #522, Seattle, WA 98107-5643 | 2007-05-07 |
1508927062 | David Alan Springer | Pediatrics | 4005 Wallingford Ave N, Seattle, WA 98103-8218 | 2006-12-12 |
1811315575 | Gina Sequeira | Pediatrics | 4540 Sand Point Way Ne Ste 200, Seattle, WA 98105-3941 | 2014-03-31 |
1124461694 | Do-quyen Pham | Pediatrics | 4540 Sand Point Way Ne, Suite 200, Seattle, WA 98105-3941 | 2013-04-15 |
1518117852 | Florence Desrosiers | Pediatrics | 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2008-09-23 |
1639221088 | Marvin S. Krober | Pediatrics | 125 16th Ave E, Csb-4, Seattle, WA 98112-5211 | 2007-01-17 |
1447324140 | Cora C. Breuner | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-17 |
1598836124 | Taraneh Shafii | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-11-13 |
1144309402 | Robin D Ifft | Pediatrics | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-11-06 |
1447331798 | Laura P Richardson | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
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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.