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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L&I | 0111626 | 01 |
WA | RR MEDICARE | 110138451 | 01 |
WA | 8107757 | 05 |
Street Address |
4011 TALBOT ROAD SOUTH SUITE 500 |
City | RENTON |
State | WA |
Zip Code | 98055 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 98055 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
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. |
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 |
Find all providers with the same taxonomy |
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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.