ERIC P JAECKS (NPI# 1275668931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275668931 |
| Entity Type | Individual |
| Full Name | ERIC P JAECKS |
| Credential | MD |
| Practice Address |
310 15th Ave E Seattle WA 98112-5103 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2063263000 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00031535 | WA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | MD00031535 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8175721 | 05 |
| Street Address |
310 15TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676122 | Charlie Browne | Specialist | 310 15th Ave E, Cnb-2, Seattle, WA 98112-5103 | 2005-08-22 |
| 1669096350 | Mikaela Rachel Harf | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2020-05-29 |
| 1407390099 | Ashley Harlan | Registered Nurse | 310 15th Ave E, Seattle, WA 98112-5103 | 2016-12-15 |
| 1265841159 | Candace Mabbitt | Advanced Practice Midwife | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-08-05 |
| 1245658343 | Adriana Piazza | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-04-04 |
| 1043563034 | Serena Sherrill | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2012-10-16 |
| 1801187885 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-26 |
| 1427348887 | Kyunghee Kim | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-19 |
| 1982919437 | Geetha Narayani Fink | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2010-08-09 |
| 1518196500 | Andrew E Warner | Obstetrics & Gynecology | 310 15th Ave E, Group Health, Capitol Hill North Building, Seattle, WA 98112-5103 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548444813 | Arti Desai | Hospitalist | 2001 8th Ave, Suite 400, Seattle, WA 98121 | 2007-12-21 |
| 1821133158 | Erick M Davis | Hospitalist | Schick Shadel Hospital, 12101 Ambaum Blvd Sw, Seattle, WA 98146 | 2007-02-21 |
| 1164958856 | Evan Yount | Hospitalist | 925 Seneca St, Mail Stop H8-gme, Seattle, WA 98101-2742 | 2017-05-02 |
| 1174055701 | Kelly Graiziger | Hospitalist | 4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105-3901 | 2017-04-02 |
| 1306208293 | Collette Abbott | Hospitalist | 325 9th Ave, Seattle, WA 98104-2420 | 2016-03-22 |
| 1467870105 | Caleb Carl Abbott Stokes | Hospitalist | 4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105-3901 | 2014-03-31 |
| 1528485547 | Joelle Rosser | Hospitalist | 1959 Ne Pacific St Rm Bb-527, Box 356421, Seattle, WA 98195-6421 | 2014-03-27 |
| 1306281837 | Kunal N. Joshi | Hospitalist | 747 Broadway, Seattle, WA 98122-4379 | 2013-05-10 |
| 1477997724 | Kathryn L. Dawson | Hospitalist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2013-04-17 |
| 1750656963 | Knd Development 59, LLC | Hospitalist | 1334 Terry Ave, Seattle, WA 98101-2747 | 2012-03-21 |
| 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.