GEORGE L DOLACK


Address: 4011 Talbot Road South, Suite 500, Renton, WA 98055
Phone: 4252515110

GEORGE L DOLACK (NPI# 1326122268) 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) 1326122268
Entity Type Individual
Full Name GEORGE L DOLACK
Credential MD
Practice Address 4011 Talbot Road South
Suite 500
Renton
WA 98055
Mailing Address Po Box 59028
Renton
WA 98058-2028
Practice Telephone 4252515110
Practice Fax Number 4257937376
Mailing Telephone 4252515110
Mailing Fax Number 4257937458
Enumeration Date 2006-10-25
Last Update Date 2010-01-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD00023180 WA Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
MD00023180 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA L&I 0111626 01
WA RR MEDICARE 110138451 01
WA 8107757 05

Office Location

Street Address 4011 TALBOT ROAD SOUTH
SUITE 500
City RENTON
State WA
Zip Code 98055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558332700 Anna L Lien Registered Nurse 4011 Talbot Road South, Suite 500, Renton, WA 98055-5791 2006-01-27
1043368426 Southlake Clinic Inc Ps Clinic/Center 4011 Talbot Road South, Suite 500, Renton, WA 98055 2007-01-08
1417032798 Duane G Carlson Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-26
1962587311 Michael Martin Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-26
1447335401 Rajib Choudhury Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-26
1376628354 Terence A Block Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-26
1275618720 John W Nemanich Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-25
1245312420 Christopher A Dire Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-19
1750463758 William A Pearce Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-19
1952483943 Frank J Thomas Jr. Internal Medicine 4011 Talbot Road South, Suite 500, Renton, WA 98055 2006-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356965750 Proliance Surgery Center At Valley, LLC Clinic/Center 4009 Talbot Road S, Suite 200, Renton, WA 98055 2020-06-01
1851804959 Talbot Rehabilitation Center, LLC Skilled Nursing Facility 4430 Talbot Road South, Renton, WA 98055 2017-11-10
1154878668 Nelson Family Dentistry Dentist 19221 108th Ave Se Suite #2, Renton, WA 98055 2016-09-01
1598182990 Annie Kyunga Ahn Otolaryngology 4033 Talbot Rd S Ste 540, Renton, WA 98055 2014-03-24
1376960138 Madhuri Gordhan Patel Registered Nurse 3501 Mill Place South, Renton, WA 98055 2014-03-18
1912331042 Karen Dohr Pharmacist 400 S. 43 Street, Renton, WA 98055 2013-08-26
1659637668 Benjamin Reiss Ophthalmology 4300 Talbot Rd S Ste 300, Renton, WA 98055 2012-04-03
1205137940 Duy Ai Quang Hoang Pharmacist 9431 S 196th Pl, Renton, WA 98055 2010-11-11
1972823664 Erica L Ellzey Physical Therapist 18623 112th Ave Se, Renton, WA 98055 2010-06-04
1588984587 Melissa A. Jordan Nurse Anesthetist, Certified Registered 4011 Talbot Rd., 5th Floor, Renton, WA 98055 2010-06-02
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578835088 Jay Chen M.d., P.s. Internal Medicine 1029 Belmont Ave E Apt 203, Seattle, WA 98102-4430 2012-01-30
1588910855 Charles Cheng Huei Lin Internal Medicine University of Washington, 1959 Ne Pacific St, Seattle, WA 98195-0001 2012-07-24
1336405539 Michael Adel Eskander Internal Medicine 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 2012-04-02
1669792032 Neal A Chatterjee Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-06-08
1407171853 Basil Saour Internal Medicine 1536 N 115th St Ste 200, Seattle, WA 98133 2010-03-29
1225263809 Arun Raghav Mahankali Sridhar Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2009-05-26
1861641581 James R Kneller Internal Medicine 1100 Goethals Drive, Kadlec Inland Cardiology, 3rd Floor, Richland, WA 99352-3304 2008-09-17
1700048451 Michele Ann Murphy Cook Internal Medicine 122 W 7th Ave, Ste 310, Spokane, WA 99204-2349 2008-06-25
1922285345 Dardo Enrique Ferrara Internal Medicine 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 2008-01-28
1417149576 Amrit Guptan Internal Medicine 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 2007-08-13
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Competitor

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City RENTON
Zip Code 98055

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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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