DR. ANDREW MCCARTHY KOTH (NPI# 1588920904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588920904 |
| Entity Type | Individual |
| Full Name | DR. ANDREW MCCARTHY KOTH |
| Credential | MD |
| Practice Address |
4800 Sand Point Way Ne Seattle WA 98105-3901 |
| Mailing Address |
11129 Poplar St Apt D Loma Linda CA 92354-2937 |
| Practice Telephone | 2069872000 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
60824881 | WA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
60824881 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4800 SAND POINT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
| 1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
| 1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
| 1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
| 1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
| 1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164690046 | Jason Deen | Pediatrics | 4745 49th Ave Ne, Seattle, WA 98105-3829 | 2008-02-13 |
| 1225215999 | Agustin Eduardo Rubio | Pediatrics | 4800 Sand Point Way Ne Seattle Children's Hospital, Division of Pediatric Cardiology, G-0035, Seattle, WA 98105-3901 | 2008-01-24 |
| 1760685861 | Brian D Soriano | Pediatrics | 4800 Sand Point Way Ne # G-0035, Seattle, WA 98105-3901 | 2007-06-06 |
| 1689068173 | Joshua John Price | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-03-24 |
| 1659787075 | Iman Naimi | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-07-07 |
| 1265859375 | Erik L Frandsen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-26 |
| 1548603301 | Humera Ahmed | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-11 |
| 1184966384 | Elizabeth C Caris | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-03-26 |
| 1952650145 | Eyal Sagiv | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-09-04 |
| 1992093116 | Sabrina Law | Pediatrics | 4800 Sand Point Way Ne, G-0035, Seattle, WA 98105-3901 | 2011-07-21 |
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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.