DANIEL PERRY FOSMIRE


Address: 1135 116th Ave Ne, Suite 200, Bellevue, WA 98004-4623
Phone: 4257097055

DANIEL PERRY FOSMIRE (NPI# 1427073717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427073717
Entity Type Individual
Full Name DANIEL PERRY FOSMIRE
Credential M.D.
Practice Address 1135 116th Ave Ne
Suite 200
Bellevue
WA 98004-4623
Mailing Address Po Box 94568
Seattle
WA 98124-6868
Practice Telephone 4257097055
Practice Fax Number 4257097066
Mailing Telephone 8888465527
Mailing Fax Number 6073242369
Enumeration Date 2006-07-13
Last Update Date 2010-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery MD00037143 WA Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD0037143 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA L & I WORKERS COMP 0182685 01
WA AETNA 4491936 01
WA L & I CRIME VICTIMS 8930609 01
WA UNITED HEALTHCARE 1223348 08 01
WA TRIWEST 770614555 01
WA REGENCE BLUESHIELD 5368FO 01
WA UNIFORM MEDICAL PLAN 21171261225 01
WA 8238685 05

Office Location

Street Address 1135 116TH AVE NE
SUITE 200
City BELLEVUE
State WA
Zip Code 98004-4623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992702443 The Eastside Endoscopy Center LLC Clinic/Center 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 2005-06-30
1366092728 Sharpevision Pllc Optometrist 1135 116th Ave Ne, Bellevue, WA 98004-4623 2019-09-18
1447775960 Ngan Kim Hoang Pharmacist 1135 116th Ave Ne, #105, Bellevue, WA 98004 2017-08-04
1871831420 Jacqueline Suzanne Berkeihiser Counselor 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 2013-01-16
1306193255 Raisa R Volodarsky Pharmacist 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 2012-08-09
1952673238 Northwest Center for Urology Urology 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 2012-02-02
1548545973 Daniel Hee-chul Hahm Pharmacist 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 2011-10-17
1811272792 Kendra Lian Marks Audiologist 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004-4623 2011-10-11
1134439540 Aeisha Bhatti Adnan Physician Assistant 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 2010-10-19
1730496092 Washington Urology Associates, Pllc Clinic/Center 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 2010-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356458558 Joseph Jay Robin Psychiatry & Neurology 1600 116th Ave Ne Ste 302, Bellevue, WA 98004-3057 2006-08-24
1316931942 William R Bauer Psychiatry & Neurology 5433 State Route 113, Bellevue, OH 44811-9708 2005-09-09
1659721785 Bellevue Neurology and Neuroscience Pllc Psychiatry & Neurology 2020 116th Ave Ne, Suite 100, Bellevue, WA 98004-3059 2016-06-20
1477965390 Clarity Care, LLC Psychiatry & Neurology 5433 State Route 113, Bellevue, OH 44811-9708 2014-05-27
1760825301 Christopher Michael Hassett Psychiatry & Neurology 5433 State Route 113, Bellevue, OH 44811-9708 2013-04-13
1942542196 Adam Martin Kapler Psychiatry & Neurology 5433 State Route 113, Bellevue, OH 44811-9708 2013-03-25
1346503323 Casey Carter Nazor Psychiatry & Neurology 1600 116th Ave Ne Ste 304, Bellevue, WA 98004 2012-06-24
1699003871 Roopa Bhat Psychiatry & Neurology 2020 116th Ave Ne, Suite 100, Bellevue, WA 98004-3059 2009-11-25
1447481403 Shirin Salim Issa Psychiatry & Neurology 2015 116th Ave Ne, Bellevue, WA 98004-3018 2009-08-07
1386805059 Asif Ali Khan Psychiatry & Neurology 1135 116th Ave Ne, Ste 500, Bellevue, WA 98004 2008-06-24
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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