CHARISSA FOTINOS


Address: 2124 4th Ave, Seattle, WA 98121
Phone: 2062964960

CHARISSA FOTINOS (NPI# 1285640078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285640078
Entity Type Individual
Full Name CHARISSA FOTINOS
Credential MD
Practice Address 2124 4th Ave
Seattle
WA 98121
Mailing Address 999 3rd Ave
Suite 900
Seattle
WA 98104-4039
Practice Telephone 2062964960
Practice Fax Number 2062960184
Mailing Telephone 2062054138
Mailing Fax Number 2062056236
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD00027666 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8129058 05
WA LABOR & INDUSTRIES 134297 01

Office Location

Street Address 2124 4TH AVE
City SEATTLE
State WA
Zip Code 98121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699387704 Jackeline Lopez Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2020-08-19
1518593904 King County Finance Clinic/Center 2124 4th Ave, Seattle, WA 98121-2308 2020-03-17
1518435825 Della Jean Lorenzen Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2018-11-05
1851869325 Isabella Evans Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2018-11-02
1841766714 Julie Corwin Parker Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2018-10-18
1396235396 Lauren Takisaki Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2018-05-15
1427564392 Annelisa Tornberg Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2017-12-14
1730601972 Maryan N Abdulle Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2017-07-10
1033639919 Emerin Hatfield Registered Nurse 2124 4th Ave, Seattle, WA 98121-2308 2017-06-22
1396265179 Alissa White Registered Nurse 2124 4th Ave, Seattle, WA 98121 2017-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457963233 Mehrangiz Peimai Interpreter 2020 Terry Ave #203, Seattle, WA 98121 2020-08-21
1649839614 Lisa Williams Counselor El Ray, 2119 2nd Ave, Seattle, WA 98121 2019-06-12
1629634332 Emmanuel K Acheampong Jr. Physical Therapist 2720 4th Ave Apt 115, Seattle, WA 98121 2019-05-17
1538650049 Laura Rochelle Sauvage Dentist 2045 Westlake Ave, Seattle, WA 98121 2018-05-21
1407354657 Vera Whole Health Wa PC Clinic/Center 2318 4th Avenue, Seattle, WA 98121 2018-01-23
1881114601 Brandon Tyler Thompson Counselor 2119 2nd Ave., Seattle, WA 98121 2017-06-22
1255886677 Nkiruka Aderogba Nurse Practitioner 300 Lenora Street, Seattle, WA 98121 2016-08-16
1770924227 Virginia J. Washburn Marriage & Family Therapist 2021 - 1st Ave., #g2, Seattle, WA 98121 2013-07-12
1700139706 Maxine K Anderson Psychoanalyst 2100 Western Ave, #69, Seattle, WA 98121 2012-10-16
1790036903 Neal Christopher Raval Dentist 2801 1st Avenue, #509, Seattle, WA 98121 2012-09-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114540457 Country Doctor Community Clinic Family Medicine 2410 E Cherry St, Seattle, WA 98122-4832 2020-05-21
1407476500 Charles C. Falzon, Md, Pllc Family Medicine 24 Roy St # 359, Seattle, WA 98109-4018 2020-04-20
1669028635 Seattle World School Health Center Family Medicine 1700 E Union St, Seattle, WA 98122-4140 2019-08-14
1891350377 Kaiser Foundation Health Plan of Washington Family Medicine 210 9th Ave N, Seattle, WA 98109-5120 2019-05-09
1619436029 Galilea Medical Group, Pa Family Medicine 7527 42nd Ave Ne, Seattle, WA 98115-5101 2019-03-15
1912463670 Hillman City Medical Pllc Family Medicine 3828 S Graham St Suite A, Seattle, WA 98118 2019-02-18
1740769868 Oasis Medical Group, P.C. Family Medicine 301 Union St Unit 21502, Seattle, WA 98111-1623 2018-08-09
1316453608 William Curchin Family Medicine 904 7th Ave Fl 9, Seattle, WA 98104-1132 2017-12-21
1871020933 Seattle Sports & Regenerative Medicine Family Medicine 1000 Dexter Ave N Ste 300, Seattle, WA 98109-3579 2017-05-18
1790210847 Christina Choung Family Medicine 211 Pike St Fl 8, Seattle, WA 98101-2107 2017-04-26
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Competitor

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City SEATTLE
Zip Code 98121

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Dataset Information

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.

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