CARRIE PAGE MARDER (NPI# 1407055320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407055320 |
| Entity Type | Individual |
| Full Name | CARRIE PAGE MARDER |
| Credential | MD |
| Practice Address |
1959 Ne Pacific St Seattle WA 98195-0001 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065986200 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD60275068 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD60275068 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1407055320 | 05 |
| Street Address |
1959 NE PACIFIC ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637298 | Divis Kaur Khaira | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195 | 2005-05-23 |
| 1225639628 | Alexandra Christina Schenck | Speech-Language Pathologist | 1959 Ne Pacific St, 3rd Floor, Ne 300, Seattle, WA 98195 | 2020-11-03 |
| 1245831692 | Lindsey Marie Graff | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1841891165 | Yip Han Lee | Nurse Anesthetist, Certified Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-11-03 |
| 1003415316 | Thuy Duong Hoang Nguyen | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-19 |
| 1982201968 | Timothy Shan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-10-03 |
| 1245847326 | Erika Patterson | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-5063 | 2020-09-23 |
| 1932716032 | Poonam Gill | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-09-23 |
| 1962018119 | Vivian Dao | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| 1558977843 | Angela Schwartz | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
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| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295155901 | Robert Paul Deconde | Radiology | 1959 Ne Pacific St # Ss -202, Seattle, WA 98195-7117 | 2014-04-21 |
| 1407024888 | Andrew Laurence Thompson | Radiology | 2440 Western Ave, Apt# 402, Seattle, WA 98121-1325 | 2008-02-19 |
| 1306932165 | Roberta W. Dalley | Radiology | 1959 Ne Pacific St, U of Washington Medical Ctr, Radiology, Room Rr-215, Box 357115, Seattle, WA 98195-0001 | 2006-10-05 |
| 1578658134 | Dean Shibata | Radiology | Univ Washington Med Center, Box 357115, 1959 Ne Pacific St, Seattle, WA 98195 | 2006-10-03 |
| 1700237880 | Rahul Jadhav | Radiology | 325 9th Ave, Seattle, WA 98104-2420 | 2016-06-29 |
| 1518294321 | Patrick A.j.g. Browaeys | Radiology | University of Washington, Box 357115, Seattle, WA 98195-0001 | 2009-11-16 |
| 1306009980 | Margaret N Chapman | Radiology | 1100 9th Ave, Ms:c5-xr, Seattle, WA 98101-2756 | 2008-07-03 |
| 1407025562 | Jayson Lee Benjert | Radiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-02-22 |
| 1497941504 | Kelley Lynn Cline | Radiology | 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-0001 | 2007-09-21 |
| 1457542342 | F. Christian Killien | Radiology | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-08-06 |
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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.