MIND YOUR BODY CLINIC PLLC (NPI# 1396044947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396044947 |
| Entity Type | Organization |
| Organization Name | MIND YOUR BODY CLINIC PLLC |
| Practice Address |
6900 E Greenlake Way N Suite J Seattle WA 98103 |
| Mailing Address |
Po Box 97115 Lakewood WA 98497-0115 |
| Practice Telephone | 2069577246 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | DR. RAJNINDER JUTLA (OWNER/PROVIDER) |
| Authorized Official Telephone | 2069577246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306005525 | Mind Your Body Clinic Pllc | Specialist | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2008-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MIND YOUR BODY CLINIC PLLC | 6900 E Green Lake Way N Ste J, Ste J, Seattle, WA 98115-5480 |
| Street Address |
6900 E GREENLAKE WAY N SUITE J |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978976 | Christopher David Merifield | Anesthesiology | 600 Broadway Ste 530, Seattle, WA 98122 | 2005-11-07 |
| 1124524418 | Krishna Bharat Merai | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-04-04 |
| 1174919716 | Boyoun Jung | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-4870 | 2015-04-10 |
| 1033478300 | Preetma Kaur Kooner | Anesthesiology | University of Washington, 1959 Ne Pacific Street St, Seattle, WA 98195-0001 | 2012-05-08 |
| 1770720096 | Michael Gofeld | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2009-01-08 |
| 1649445172 | Alex Cahana | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-04-25 |
| 1457437253 | Mario De Pinto | Anesthesiology | Harborview Medical Center, 325 9th Ave, Seattle, WA 98104 | 2006-10-27 |
| 1609957950 | Corrie Anderson | Anesthesiology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| 1790870780 | Isuta Nishio | Anesthesiology | 1660 S Columbian Way, S-112-anes, Seattle, WA 98108-1532 | 2006-10-04 |
| 1538270491 | Adam D Balkany | Anesthesiology | 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-6340 | 2006-08-31 |
| 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.