SEATTLE EXTRACORPOREAL (NPI# 1396199824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396199824 |
Entity Type | Organization |
Organization Name | SEATTLE EXTRACORPOREAL |
Other Organization Name | VIRGINIA MASON MEDICAL CENTER |
Practice Address |
925 Seneca Street Seattle Extracorporeal Seattle WA 98101 |
Mailing Address |
4446 88th Ave Se Mercer Island WA 98040-4148 |
Practice Telephone | 2062236600 |
Mailing Telephone | 2069399898 |
Enumeration Date | 2016-04-21 |
Last Update Date | 2016-04-21 |
Authorized Official Name | MR. RAY LEE JOHNSON (CLINICAL PERFUSIONIST) |
Authorized Official Telephone | 2069399898 |
Authorized Official Credential | CCP |
Is Organization Subpart | Y |
Parent Organization Name | NO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
819241 | WA | Hospitals |
Other Name | Type Code |
---|---|
Virginia Mason Medical Center | Doing Business As Name - Organization |
Street Address |
925 SENECA STREET SEATTLE EXTRACORPOREAL |
City | SEATTLE |
State | WA |
Zip Code | 98101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841828928 | Phuqui Duong Pham | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Stop: H8-gme, Seattle, WA 98101 | 2020-04-01 |
1174151815 | Sasha Nicole Swensen | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Sop: H8-gme, Seattle, WA 98101 | 2020-03-30 |
1023646601 | Stephanie Stovall | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Sop: H8-gme, Seattle, WA 98101 | 2020-03-30 |
1730716291 | Andrew Matthew Huang | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Seattle, WA 98101 | 2020-03-25 |
1982166070 | Stephen Wabeti Nganga | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-04-05 |
1548721194 | Meredith P Johnson | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Sop: H8 Gme, Seattle, WA 98101 | 2019-03-27 |
1144780487 | Katrina Marie Tate | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Sop: H8-gme, Seattle, WA 98101-6079 | 2019-03-22 |
1033679451 | Adam Marcus Hanif | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Seattle, WA 98101 | 2019-03-21 |
1447725858 | Katherine Mcmanus | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2018-10-11 |
1073019303 | Carmen Allcock | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-04-04 |
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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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982157640 | University of Washington | General Acute Care Hospital | 140 W Florentia St Apt C, Seattle, WA 98119-2393 | 2016-07-29 |
1982144010 | Swedish Medical Center | General Acute Care Hospital | 550 17th Ave, Seattle, WA 98122-5788 | 2017-03-08 |
1679860860 | Community Psychiatric Clinic Inc | General Acute Care Hospital | 10501 Meridian Ave N, Suite D, Seattle, WA 98133-9509 | 2011-07-07 |
1518262328 | Harborview Medical Center | General Acute Care Hospital | 325 9th Ave, Seattle, WA 98104-2420 | 2011-01-26 |
1417014564 | University of Washington Medical Center | General Acute Care Hospital | 325 9th Ave, Box 359924, Seattle, WA 98104-2420 | 2007-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487917233 | Peacehealth Peace Island Medical Center | General Acute Care Hospital | 1117 Spring Street, Friday Harbor, WA 98250-7303 | 2012-06-18 |
1699914226 | 633 | General Acute Care Hospital | 7244 237th Ave Ne, Redmond, WA 98053-7914 | 2009-02-04 |
1447413091 | Whidbey Island Public Hospital District | General Acute Care Hospital | 205 S Main Street, A, Coupeville, WA 98239 | 2008-07-03 |
1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
1720279953 | Providence Healthcare | General Acute Care Hospital | 1015 E D St, Deer Park, WA 99006-5067 | 2007-08-05 |
1508911645 | Okanogan Douglas County Hospital Dist 1 | General Acute Care Hospital | 537 West Main, Brewster, WA 98812 | 2007-01-25 |
1801944038 | Us Veterns Hospital Pharmacy | General Acute Care Hospital | 611 Sw 1st Ct, Battle Ground, WA 98604-8424 | 2007-01-05 |
1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
1255429957 | Garfield County Memorial Hospital District | General Acute Care Hospital | 66 North 6th Street, Pomeroy, WA 99347-9705 | 2006-10-10 |
1417057233 | Providence Health Care | General Acute Care Hospital | 1015 East D Street, Deer Park, WA 99006-0742 | 2006-09-22 |
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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.