GARY R FELDMAN DDS MD PS (NPI# 1295257384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295257384 |
| Entity Type | Organization |
| Organization Name | GARY R FELDMAN DDS MD PS |
| Other Organization Name | GARY R FELDMAN MD DDS PS |
| Practice Address |
1221 Madison St Ste 1116 Seattle WA 98104-3536 |
| Practice Telephone | (206) 215-2088 |
| Practice Fax Number | 2062152087 |
| Mailing Telephone | 2062152088 |
| Mailing Fax Number | 2062152087 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | DR. GARY R FELDMAN (PRESIDENT) |
| Authorized Official Telephone | 2062152088 |
| Authorized Official Credential | DDS MD PS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 17630 | WA | Ambulatory Health Care Facilities |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
17630 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Gary R Feldman MD DDS PS | Other Name - Individual/Organization |
| Street Address |
1221 MADISON ST STE 1116 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3536 |
| 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 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
| 1952788150 | David J Haralson | Dentist | 509 Olive Way Ste 1331, Seattle, WA 98101-1743 | 2015-04-27 |
| 1912391350 | Li Han Lai | Dentist | Department of Oral Surgery 1959 Ne Pacific St, Health Sciences Building B-241, Seattle, WA 98195-0001 | 2015-03-24 |
| 1568693240 | Todd Paul Fairbanks | Dentist | University of Washington Oral Surgery Dept, Box 357134, 1959 Ne Pacific St., Seattle, WA 98195-7134 | 2009-07-29 |
| 1720292436 | Samuel Louis Bobek | Dentist | 600 Broadway Ste 460, Seattle, WA 98122-5312 | 2007-05-10 |
| 1669522546 | Thomas Stuart Maring | Dentist | 509 Olive Way Ste 550, Seattle, WA 98101-1736 | 2007-01-11 |
| 1093882185 | Darlene Michelle Chan | Dentist | 4744 41st Ave Sw Suite 107, Seattle, WA 98116-4566 | 2006-11-30 |
| 1750387361 | Thomas Howard Hohl | Dentist | 4540 Sand Point Way Ne, Ste 360, Seattle, WA 98105 | 2005-06-28 |
| 1750842415 | Brian H. Cheung, Dds, Md, Pllc | Dentist | 509 Olive Way Ste 1331, Seattle, WA 98101-1743 | 2019-03-26 |
| 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.