DR. ATA S MOSHIRI (NPI# 1619394780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619394780 |
| Entity Type | Individual |
| Full Name | DR. ATA S MOSHIRI |
| Credential | MD, MPH |
| Practice Address |
4225 Roosevelt Way Ne Fl 4 Seattle WA 98105-6099 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065982267 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD60949822 | WA | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD60949822 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1619394780 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 825 Eastlake Ave E, Seattle, WA 981094405 | 8555570555 |
| Street Address |
4225 ROOSEVELT WAY NE FL 4 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306818513 | Miroslav Backonja | Psychiatry & Neurology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-02-02 |
| 1376173328 | Song Youn Park | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2020-01-17 |
| 1477907822 | Melissa Osborn | Physical Medicine & Rehabilitation | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2016-04-21 |
| 1215047527 | Catherine Q Howe | Psychiatry & Neurology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-08-30 |
| 1003844226 | Brett Russell Stacey | Anesthesiology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-06-28 |
| 1194764837 | Kendra Gail Bergstrom | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2006-06-06 |
| 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 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861538480 | Zsolt B Argenyi | Dermatology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932296092 | Dermatopatholoty Northwest Pllc | Dermatology | 2330 130th Ave Ne # 201, Bellevue, WA 98005-1756 | 2006-10-09 |
| 1013557933 | Mountain West Derm - Blackhart Pllc | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
| 1437798568 | Chesnut Md | Dermatology | 510 S Cowley St, Spokane, WA 99202-1332 | 2020-01-06 |
| 1114235942 | Susan Kim Md Ps | Dermatology | 10117 Ne 58th St Ste 200, Kirkland, WA 98033-7450 | 2010-09-14 |
| 1710149430 | Casey A Carlos | Dermatology | 832 102nd Ave Ne, Bellevue, WA 98004-4117 | 2008-06-25 |
| 1699947747 | John Zhang | Dermatology | 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012-1797 | 2008-03-28 |
| 1558532515 | Mark Imre Racz | Dermatology | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2008-03-18 |
| 1790973436 | North Pacific Dermatology Services, LLC | Dermatology | 1412 Sw 43rd St Ste 205, Renton, WA 98057-4803 | 2007-10-09 |
| 1548278435 | Robert F Findlay | Dermatology | 5225 Cirque Dr W Ste 200, University Place, WA 98467-3639 | 2006-08-04 |
| 1932165784 | Sanhwan Chen | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2006-04-21 |
| 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.