PETER LAWRENCE SUNARYO (NPI# 1255741435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255741435 |
| Entity Type | Individual |
| Full Name | PETER LAWRENCE SUNARYO |
| Credential | MD |
| Practice Address |
1536 N 115th St Ste 300 Seattle WA 98133-8400 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD61025634 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1536 N 115TH ST STE 300 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366731887 | Helena Chih-hua Chang | Urology | 1536 N 115th St Ste 300, Seattle, WA 98133-8400 | 2011-04-05 |
| 1750810602 | Lisa Ding | Physician Assistant | 1536 N 115th St Ste 300, Seattle, WA 98133-8400 | 2017-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1366731887 | Helena Chih-hua Chang | Urology | 1536 N 115th St Ste 300, Seattle, WA 98133-8400 | 2011-04-05 |
| 1629398656 | Steven Han, Md, Pllc | Urology | 1221 Madison St Ste 1210, Seattle, WA 98104-1356 | 2010-06-01 |
| 1982939955 | Lindsay Ann Hampson | Urology | 410 9th Ave., 7th Floor, Seattle, WA 98104-2420 | 2009-10-08 |
| 1215192463 | Daniel I Avery | Urology | 310 15th Ave E # Cnb-2, Seattle, WA 98112-5103 | 2008-07-26 |
| 1124201900 | John Mullen Md Ps | Urology | 1221 Madison St #1210, Seattle, WA 98104-1356 | 2007-12-14 |
| 1801912134 | Kathleen Kieran | Urology | 4800 Sand Point Way Ne # Oa.9220, Seattle, WA 98105-3901 | 2007-03-21 |
| 1578647293 | Mark W. Burns | Urology | 4540 Sand Point Way Ne Ste 120, Seattle, WA 98105-3941 | 2006-10-25 |
| 1700895000 | Paul Arthur Merguerian | Urology | 4800 Sand Point Way Ne # Msw-7229, Division of Pediatric Urology, Seattle, WA 98105-3901 | 2006-08-05 |
| 1073557120 | Laura Jeannine Hart | Urology | 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2006-06-16 |
| 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.