JUSTIN LEDESMA (NPI# 1467743682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467743682 |
| Entity Type | Individual |
| Full Name | JUSTIN LEDESMA |
| Credential | MD |
| Practice Address |
16259 Sylvester Rd Sw Ste 301 Burien WA 98166 |
| Mailing Address |
16259 Sylvester Rd Sw Ste 301 Burien WA 98166-3059 |
| Practice Telephone | 2069652710 |
| Practice Fax Number | 2069652729 |
| Mailing Telephone | 2069652710 |
| Mailing Fax Number | 2069652729 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD60995376 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 54240 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD60995376 | WA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
54240 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 267891 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5301 E Grant Rd, Tucson, AZ 857122805 | 5207846200 | 5207846109 |
| Street Address |
16259 SYLVESTER RD SW STE 301 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063989 | Cyrus Ghavam | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166-3059 | 2006-05-22 |
| 1073715546 | Omar Abdul-hadi | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 301, Burien, WA 98166 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891115085 | Alexander H. Arzeno | Orthopaedic Surgery | 510 8th Ave Ne Ste 200, Issaquah, WA 98029-5436 | 2014-04-26 |
| 1922334804 | Alpine Orthopaedic and Spine A Professional Corporation | Orthopaedic Surgery | 212 E Central Ave Ste 365, Spokane, WA 99208-6291 | 2009-10-27 |
| 1912110933 | Virgil V Becker Jr Jd Md Inc Ps | Orthopaedic Surgery | 125 3rd St Ne Ste 401, Auburn, WA 98002-4035 | 2007-05-07 |
| 1003904434 | Farouq A Al-hamdan | Orthopaedic Surgery | 119 S 14th St, Mount Vernon, WA 98274-4114 | 2006-10-11 |
| 1366549040 | Antoine G. Tohmeh | Orthopaedic Surgery | 605 E Holland Ave Ste 200, Spokane, WA 99218-1246 | 2006-09-17 |
| 1447298021 | Paul Edward Schwaegler | Orthopaedic Surgery | 550 16th Ave Ste 404, Seattle, WA 98122-5636 | 2006-06-03 |
| 1588640361 | Michael A Chang | Orthopaedic Surgery | 1211 N 16th Ave, Yakima, WA 98902-1347 | 2005-12-22 |
| 1144228750 | Alan Burchard Brown | Orthopaedic Surgery | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2005-07-08 |
| 1699328278 | Bilal Izzat Qutteineh | Orthopaedic Surgery | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2019-07-22 |
| 1063924116 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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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.