PUGET SOUND GASTROENTEROLOGY, PLLC (NPI# 1649212606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649212606 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND GASTROENTEROLOGY, PLLC |
| Other Organization Name | SEATTLE GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
11027 Meridian Ave N Suite 100 Seattle WA 98133-1705 |
| Mailing Address |
Po Box 34888 Seattle WA 98124-1888 |
| Practice Telephone | 2063654492 |
| Practice Fax Number | 2063683456 |
| Mailing Telephone | 4259774620 |
| Mailing Fax Number | 4257459836 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | EUGENIO J HERNANDEZ (MANAGER) |
| Authorized Official Telephone | 7862053464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 600388519 | WA | Laboratories |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0031330 | 01 |
| WA | 1045049 | 05 |
| Other Name | Type Code |
|---|---|
| Seattle Gastroenterology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646838 | Puget Sound Gastroenterology, Pllc | Clinical Medical Laboratory | 19000 33rd Ave W, Suite 230, Lynnwood, WA 98036-4751 | 2006-02-02 |
| 1386615912 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 501 N 34th St, Suite 101, Seattle, WA 98103-8645 | 2006-01-31 |
| 1427185388 | Puget Sound Gastroenterology, Pllc | Clinical Medical Laboratory | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2007-02-27 |
| 1033132956 | Puget Sound Gastroenterology, Pllc | Internal Medicine | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-25 |
| 1912929738 | Puget Sound Gastroenterology, Pllc | Internal Medicine | 16504 9th Ave Se, Suite 106, Mill Creek, WA 98012-6388 | 2006-07-24 |
| 1811914625 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-16 |
| 1447212337 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2006-04-05 |
| 1720059348 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PUGET SOUND GASTROENTEROLOGY, PLLC | 9155 S Dadeland Blvd, Suite 1500, Miami, FL 33156-2740 |
| Street Address |
11027 MERIDIAN AVE N SUITE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725238 | Steven Thomas Lewis | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-24 |
| 1073658365 | Wataru Tamura | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2007-02-21 |
| 1750359105 | Darik Taniguchi | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-03-10 |
| 1528039989 | Alexandra E Read | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-02-01 |
| 1720059348 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-31 |
| 1326019167 | Crystal L Bernstein | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-30 |
| 1700857547 | Richard W Tobin | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-30 |
| 1750352035 | Steven J Wegley | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1548559552 | Stephen Michael Vindigni | Internal Medicine | 1959 Ne Pacific St, Room Bb-527, Seattle, WA 98195-6421 | 2011-03-30 |
| 1831498203 | Sophia Mansfield Swanson | Internal Medicine | 125 16th Ave, Seattle, WA 98122 | 2011-03-24 |
| 1003906959 | Anne M Larson | Internal Medicine | 1560 N 115th St Ste 207, Seattle, WA 98133-8414 | 2006-10-13 |
| 1497725238 | Steven Thomas Lewis | Internal Medicine | 11027 Meridian Ave N, Suite 100, Seattle, WA 98133-1705 | 2006-01-24 |
| 1003818709 | Andrew Dean Feld | Internal Medicine | 125 16th Ave E, Seattle, WA 98112-5211 | 2005-08-11 |
| 1194729608 | Charles H Beymer | Internal Medicine | 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 | 2005-06-13 |
| 1689109126 | Adil Ghafoor | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2017-04-21 |
| 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.