DR. STELLA DESYATNIKOVA (NPI# 1376509174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376509174 |
| Entity Type | Individual |
| Full Name | DR. STELLA DESYATNIKOVA |
| Credential | M.D. |
| Practice Address |
509 Olive Way Suite 1430 Seattle WA 98101-1720 |
| Practice Telephone | 2066823223 |
| Practice Fax Number | 2066823224 |
| Mailing Telephone | 2066823223 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD0041231 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
509 OLIVE WAY SUITE 1430 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637538 | Bobby L. Butler, Dds Pllc | Dentist | 509 Olive Way, Ste 1524, Seattle, WA 98101-1749 | 2005-05-31 |
| 1174057350 | Gumshoe Health | Clinic/Center | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-04-14 |
| 1841723426 | Nfm Health Incorporated | Naturopath | 509 Olive Way, Suite 1315, Seattle, WA 98101-1720 | 2017-04-10 |
| 1831620145 | Andrew Marks | Massage Therapist | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-03-27 |
| 1215468400 | Camille Christine Campbell | Massage Therapist | 509 Olive Way, Ste. 755, Seattle, WA 98101-1720 | 2017-03-21 |
| 1639610934 | Andrew Birton Smith | Family Medicine | 509 Olive Way, Seattle, WA 98101-1720 | 2017-03-20 |
| 1043752827 | Caroline M Herron, Dds, Msd, Pllc | Dentist | 509 Olive Way, #627, Seattle, WA 98101-1720 | 2016-11-10 |
| 1447701891 | Burcu Bayirli | Dentist | 509 Olive Way, Seattle, WA 98101-1720 | 2016-10-20 |
| 1184170672 | Joanne Epping-jordan Phd Pllc | Psychologist | 509 Olive Way, Suite 204, Seattle, WA 98101-1726 | 2016-08-25 |
| 1083167266 | Alan E Moritis Dds Pllc | Dentist | 509 Olive Way, Suite 1520, Seattle, WA 98101-1720 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588040836 | Seattle Face and Skin, Pllc | Otolaryngology | 200 W. Galer St, Seattle, WA 98119 | 2015-08-09 |
| 1356736730 | Sarah Mazher Kidwai | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-2305 | 2015-04-01 |
| 1942498357 | Michael James Nuara | Otolaryngology | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-10-10 |
| 1366642050 | Tobias J Pincock | Otolaryngology | 600 Broadway, Suite 280, Seattle, WA 98122-5395 | 2007-07-20 |
| 1497898969 | Kristen Sean Moe | Otolaryngology | 325 9th Ave, Seattle, WA 98104-2420 | 2007-02-15 |
| 1043223514 | Amit D Bhrany | Otolaryngology | 1959 Ne Pacific St, Bb1165, Box 356515, Seattle, WA 98195-6340 | 2006-08-14 |
| 1215968508 | Craig S Murakami | Otolaryngology | 1100 9th Ave, X10-on, Seattle, WA 98101 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043324130 | Christopher Philip Nyte | Otolaryngology | 27539 Maple Valley Black Diamond Rd Se, Suite D101, Maple Valley, WA 98038-5155 | 2006-08-18 |
| 1588611552 | Yarrow Bay Plastic Surgery, Pllc | Otolaryngology | 5209 Lake Washington Blvd, Suite 115, Kirkland, WA 98033-7355 | 2006-05-27 |
| 1598720492 | Patrick Edward Henderson | Otolaryngology | 319 E Pioneer Ave, Montesano, WA 98563 | 2006-04-20 |
| 1740592849 | Daniel James Liebertz | Otolaryngology | 5209 Lake Washington Blvd Ne, Ste 115, Kirkland, WA 98033-7355 | 2010-07-06 |
| 1205147659 | Jason D. Roos | Otolaryngology | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2010-06-30 |
| 1700010642 | Ear Nose Throat and Plastic Surgery Associates of The South Sound Ps | Otolaryngology | 310 6th St Ne, Auburn, WA 98002-4342 | 2009-05-06 |
| 1679745871 | Marc Hale Hohman | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2008-03-27 |
| 1417039488 | Ear Nose Throat & Plastic Surgery Associates Inc | Otolaryngology | 310 6th St Ne, Auburn, WA 98002-4342 | 2006-10-19 |
| 1205932803 | Jan Zemplenyi | Otolaryngology | 1260 116th Ave Ne, Suite 110, Bellevue, WA 98004-3809 | 2006-09-15 |
| 1295759587 | Scott B Roofe | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-5001 | 2006-07-27 |
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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.