ADVANCED DIABETES AND ENDOCRINE CARE


Address: 700 S 320th St, Suite D, Federal Way, WA 98003-4691
Phone: 2538801029

ADVANCED DIABETES AND ENDOCRINE CARE (NPI# 1518375880) 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) 1518375880
Entity Type Organization
Organization Name ADVANCED DIABETES AND ENDOCRINE CARE
Practice Address 700 S 320th St
Suite D
Federal Way
WA 98003-4691
Practice Telephone 2538801029
Practice Fax Number 2533226203
Mailing Telephone 2538801029
Mailing Fax Number 2533226203
Enumeration Date 2014-07-30
Last Update Date 2014-11-24
Authorized Official Name DR. SHAISTA A QUDDUSI (PRESIDENT)
Authorized Official Telephone 2538801029
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD00032808 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA RAILROAD P00181501 01

Office Location

Street Address 700 S 320TH ST
SUITE D
City FEDERAL WAY
State WA
Zip Code 98003-4691

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114990462 Thomas E. Jacka Dentist 700 S 320th St, Suite E, Federal Way, WA 98003-4691 2006-02-08
1649607425 Jennifer Renee Kasselmann Nurse Practitioner 700 S 320th St, Suite A, Federal Way, WA 98003-4691 2013-10-11
1104066919 Arminda Mauricio Obstetrics & Gynecology 700 S 320th St, Suite B, Federal Way, WA 98003 2009-03-06
1750490520 Jay Kloby Radiology 700 S 320th St, Suite D, Federal Way, WA 98003-4691 2006-08-29
1538189428 Michael B Smith Obstetrics & Gynecology 700 S 320th St, Suite B, Federal Way, WA 98003-4691 2006-07-20
1053340885 Shaista Quddusi Internal Medicine 700 S 320th St, Suite D, Federal Way, WA 98003-4691 2006-07-02

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1972958940 Kathy Marie Haviland Registered Nurse 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 2016-04-27
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386863470 Larry D. Stonesifer, M.d., Inc, P.s. Internal Medicine 34509 9th Ave S Ste 200, Federal Way, WA 98003-8708 2007-04-25
1073609509 Larry D. Stonesifer Internal Medicine 34509 - 9th Ave So #200, Federal Way, WA 98003-8708 2006-10-04
1891729901 Franciscan Medical Group Internal Medicine 30809 1st Ave S, Federal Way, WA 98003-4074 2006-07-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407349962 Cascade Endocrinology Pllc Internal Medicine 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 2018-06-10
1497283287 Shannon Casey Internal Medicine 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 2017-05-24
1255606489 Lindsay Collins Internal Medicine 12303 Ne 130th Ln Ste 250, Kirkland, WA 98034-3072 2012-03-21
1295024727 Qin Ouyang Internal Medicine 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 2011-04-05
1699078642 Mary Margaret Higley Carbone Internal Medicine 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 2010-12-14
1881994028 Swedish Edmonds Internal Medicine 21616 76 Ave W, Suite 212, Edmonds, WA 98026 2010-10-21
1699082909 Aria Endocrinology Internal Medicine 12303 Ne 130th Lane, Suite 400, Evergreen Professional Center, Kirkland, WA 98034 2010-09-08
1922312479 Elizabeth Hsu Internal Medicine 411 Fortuyn Road, Grand Coulee, WA 99133 2010-07-27
1386958882 Kadapalakere Pathalingappa Manjun Reddy Internal Medicine 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 2010-07-27
1679800932 Arthi Thirumalai Internal Medicine 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 2009-11-06
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City FEDERAL WAY
Zip Code 98003

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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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