MARIANNE EMMANUELLE DUBARD-GAULT (NPI# 1447678206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447678206 |
| Entity Type | Individual |
| Full Name | MARIANNE EMMANUELLE DUBARD-GAULT |
| Credential | M.D. |
| Practice Address |
825 Eastlake Ave E Seattle WA 98109-4405 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD60974578 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1447678206 | 05 |
| Street Address |
825 EASTLAKE AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637288 | Stephen J Lemon | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2005-08-25 |
| 1306447834 | Saaiqa Maredia Momin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-11-02 |
| 1154921849 | Kenneth Tham | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-10-30 |
| 1023625498 | Ivan Jiayong Huang | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-09-29 |
| 1710599378 | Christine Gleason | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-08-17 |
| 1962023374 | Deeter Ryan Neumann | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-27 |
| 1083234595 | Sydney Lee Smith | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
| 1629698154 | Andrew Thomas Ruplin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
| 1396365300 | Kikkeri N Naresh | Pathology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-20 |
| 1942820220 | Arianne Duong | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316196124 | Ghayda Mirzaa | Medical Genetics | 1900 9th Ave, Mailstop C9s-10, Seattle, WA 98101-1309 | 2008-09-17 |
| 1184636227 | Melissa Ann Parisi | Medical Genetics | 4800 Sand Point Way Ne # M2-9, Children's Hospital and Regional Medical Center, Seattle, WA 98105-3901 | 2006-08-13 |
| 1033539671 | Irene Joan Chang | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-22 |
| 1558683524 | Anita E Beck | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2010-02-18 |
| 1003070293 | James Toliver Bennett Jr. | Medical Genetics | 4800 Sand Point Way Ne, Genetic Medicine, Seattle, WA 98105-3901 | 2008-07-16 |
| 1336303031 | Ruxandra Bachmann-gagescu | Medical Genetics | University of Washington, 1705 Ne Pacific Street, K253, Box 357720, Seattle, WA 98195-0001 | 2008-07-11 |
| 1760652267 | Angela Sun | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-03-11 |
| 1558560169 | Christina T. Lam | Medical Genetics | 4800 Sand Point Way Ne, M/s Mb.8.632, Seattle, WA 98105-3901 | 2007-07-13 |
| 1346444767 | Robert M Hershberg | Medical Genetics | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-06-11 |
| 1114081999 | Heather C Mefford | Medical Genetics | 1959 Ne Pacific St, Box 356320, Seattle, WA 98195-0001 | 2006-12-19 |
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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.