LLEWELLYN NAYAGAM PACKIA RAJ (NPI# 1659339695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659339695 |
| Entity Type | Individual |
| Full Name | LLEWELLYN NAYAGAM PACKIA RAJ |
| Credential | MD |
| Practice Address |
1750 112th Ave Ne Ste D258 Bellevue WA 98004-3727 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 4254982272 |
| Practice Fax Number | 4254982334 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00040226 | WA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD00040226 | WA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD00040226 | WA | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
MD00040226 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1659339695 | 05 |
| Street Address |
1750 112TH AVE NE STE D258 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194136457 | Lauren F Vernese | Physical Medicine & Rehabilitation | 1750 112th Ave Ne Ste D258, Bellevue, WA 98004 | 2014-05-08 |
| 1871939520 | Ronan Cahill | Family Medicine | 1750 112th Ave Ne Ste D258, Bellevue, WA 98004-3727 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801754 | M Steven Hughes | Physical Medicine & Rehabilitation | 1632 116th Ave Ne Ste C, Bellevue, WA 98004-3035 | 2005-09-19 |
| 1821272469 | Northwest Rehabilitation Associates, Inc., Ps | Physical Medicine & Rehabilitation | 1600 116th Ave Ne, Suite 202, Bellevue, WA 98004-3014 | 2007-12-18 |
| 1013032846 | Gary Phillip Chimes | Physical Medicine & Rehabilitation | 1600 116th Ave Ne, Suite 206, Bellevue, WA 98004-3014 | 2007-03-20 |
| 1780653303 | Daniel Alfred Brzusek | Physical Medicine & Rehabilitation | 1600 116th Ave Ne, Suite 202, Bellevue, WA 98004-3056 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638400 | Iain Mistrot | Physical Medicine & Rehabilitation | University of Washington 354070 Graves Building, Seattle, WA 98195-0001 | 2020-04-25 |
| 1114555133 | Lilly Paige Walker | Physical Medicine & Rehabilitation | 1624 Ne Cougar Way, Perham 126, Pullman, WA 99163-9916 | 2020-03-27 |
| 1881189009 | Stephan Paul Bellande | Physical Medicine & Rehabilitation | 1292 Ne Mount Olympus Ln Apt B303, Bremerton, WA 98311-3893 | 2018-06-29 |
| 1740781210 | Priya Goyal | Physical Medicine & Rehabilitation | 728 S 320th St Ste G, Federal Way, WA 98003-5255 | 2018-02-21 |
| 1255739678 | Michelle Physical Therapy | Physical Medicine & Rehabilitation | 649 Windsor Dr Se, Sammamish, WA 98074-3422 | 2014-12-17 |
| 1063601375 | Kathleen Elizabeth Severeid | Physical Medicine & Rehabilitation | 209 M L King Jr Way, Tsc-tacoma Medical Center, Tacoma, WA 98405-4265 | 2007-10-23 |
| 1679598510 | Ghislaine Robert | Physical Medicine & Rehabilitation | 8630 164th Ave Ne, 205, Redmond, WA 98052-3606 | 2006-07-13 |
| 1053352708 | Brian J Krabak | Physical Medicine & Rehabilitation | University of Washington Medical Ctr, Dept Rehabilitation Medicine1959 Pacific Ne, 356490, Seattle, WA 98195-0001 | 2006-06-10 |
| 1942253000 | Alison Stout | Physical Medicine & Rehabilitation | 12039 Ne 128th St Ste 500, Kirkland, WA 98034-3029 | 2006-05-18 |
| 1932682762 | Harley Fields | Physical Medicine & Rehabilitation | 2755 Mottman Rd Sw, Tumwater, WA 98512-5684 | 2018-09-07 |
| 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.