LIO MALUCHI RYU (NPI# 1487001723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487001723 |
| Entity Type | Individual |
| Full Name | LIO MALUCHI RYU |
| Credential | PA-C |
| Practice Address |
1221 Madison St Ste 600 Seattle WA 98104 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2062155900 |
| Practice Fax Number | 2062152250 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60783018 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1487001723 | 05 |
| Street Address |
1221 MADISON ST STE 600 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598792590 | Laura Lazarus | Surgery | 1221 Madison St Ste 600, Seattle, WA 98104 | 2006-06-26 |
| 1750701934 | Patricia Kim | Registered Nurse | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2014-04-25 |
| 1093158941 | Angelena Crown | Surgery | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2013-04-10 |
| 1942568332 | Jenny Lynn Lott | Registered Nurse | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2012-04-24 |
| 1053553883 | Michelle Szu-min Han | Surgery | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2009-03-25 |
| 1356514186 | Pamela Li | Surgery | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2008-04-13 |
| 1437201126 | Emma Grace Gensert | Registered Nurse | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1548402209 | Loverne Greg De Venecia Jimenez | Physician Assistant | James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 | 2009-03-27 |
| 1679506737 | Gerald M Strode | Physician Assistant | 521 Wall St, Seattle, WA 98121-1524 | 2006-07-09 |
| 1023049905 | Kari A. Schmitz | Physician Assistant | 3725 Sw Prescott Pl, Seattle, WA 98126-2042 | 2006-07-06 |
| 1528007069 | Claudia M Kalotay | Physician Assistant | 901 Boren Ave #800, Seattle, WA 98104 | 2006-06-06 |
| 1386681815 | Paul Richard Halkett | Physician Assistant | Pbs Building, 401 Broadway, Seattle, WA 98122 | 2006-06-01 |
| 1851361646 | Irina E Penev | Physician Assistant | 550 17th Ave Fl 6, Seattle, WA 98122-5788 | 2006-01-24 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
| 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.