KIM M MATSUMOTO (NPI# 1457603532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457603532 |
| Entity Type | Individual |
| Full Name | KIM M MATSUMOTO |
| Credential | PA-C, MD |
| Practice Address |
1959 Ne Pacific Street Box : 356421 Seattle WA 98195-0001 |
| Mailing Address |
1959 Ne Pacific Street Box 356421 Seattle WA 98195-6241 |
| Practice Telephone | 2065433605 |
| Mailing Telephone | 2065433605 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ML61058307 | WA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 60310464 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19917 7th Ave Ne, Suite 205, Poulsbo, WA 983706555 | 3603773776 | 3607796449 |
| 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 | 2068425632 | 2068425992 |
| Street Address |
1959 NE PACIFIC STREET BOX : 356421 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748561 | Mahlet Assefa | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-0001 | 2020-04-06 |
| 1982233862 | Kevin R Steehler | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-0001 | 2020-04-03 |
| 1710515945 | Jurjen De Jong | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-6421 | 2020-04-01 |
| 1437787090 | Hannah Rose Hashimi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-0001 | 2020-03-30 |
| 1184187023 | Mindy Lim Zeitz-chua | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-6421 | 2019-04-08 |
| 1609338987 | Julie Frances Weis | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-0001 | 2019-04-04 |
| 1790247344 | Cooper Benet Kersey | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-0001 | 2019-04-03 |
| 1891255840 | Andrew Robert Wilmington | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box : 356421, Seattle, WA 98195-0001 | 2019-03-24 |
| 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 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| 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 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| 1558928531 | Donn J Colby | Internal Medicine | 318 17th Ave E, Seattle, WA 98112-5107 | 2019-05-24 |
| 1922585736 | Summit Consulting for Post Acute Care LLC | Internal Medicine | 1170 Alki Ave Sw Apt 301, Seattle, WA 98116-4828 | 2018-07-24 |
| 1619401668 | Chipo Natasha Kwendakwema | Internal Medicine | 1959 Ne Pacific St Rm Bb527, Box 356421, Seattle, WA 98195-6421 | 2017-04-17 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1851831838 | Allofor Inc. | Internal Medicine | 5608 17th Ave Nw Ste 537, Seattle, WA 98107-5232 | 2017-02-24 |
| 1558817791 | Frankenfeld Home Visits Mht LLC | Internal Medicine | 4816 Aurora Avenue N, Seattle, WA 98103 | 2016-08-28 |
| 1093268542 | Hansen Mht LLC | Internal Medicine | 4816 Aurora Ave N, Seattle, WA 98103-6518 | 2016-08-02 |
| 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.